Adult survivors of childhood abuse often have difficulties with close friendships and intimate relationships, and suffer from low self-esteem, depression, anxiety, phobias, and loneliness. This chapter provides instructions for leading a short-term focal therapy group; but this particular client population, unlike some others, will need and benefit from ongoing group therapy. Extended therapy will give clients the opportunity to work through the many different issues that the focal group will merely introduce, and sufficient time to assimilate the related concepts and skills. These clients need a safe, supportive, and nurturing environment in which they can move back and forth between uncovering and covering up their feelings.