While posttraumatic stress disorder (PTSD) has been recognized for some time, only recently have therapists begun to recognize and address complex posttraumatic stress responses in female clients who have a history of early or chronic abuse. Most mental health service providers recognize the challenges in offering help when a client's problems seem complex and overwhelming, and they may be unsure of how first to intervene. First Stage Trauma Treatment provides a conceptual framework along with practical ideas and strategies. Readers will learn: about complex post-traumatic stress responses (including depression, self-harm and substance use the importance of timing when addressing women's trauma experiences in therapy about the complex biopsychosocial context of women's trauma and its treatment the basic components of staged trauma treatment, with an emphasis on the first stage the specific tools and strategies to use when beginning this work. Women experiencing complex PTSD may seek help at any number of services, so First Stage Trauma Treatment is written for a diverse audience: mental health and addiction service providers who actively treat women who have survived abuse, and allied caregivers who wish to understand more about the clients they serve.