This work addresses the specific symptoms and problems experienced by many adult survivors of childhood sexual and emotional abuse. These may include problems with substance abuse, self-mutilating behaviour, suicide attempts, eating disorders, dissociative reactions, depression, sexual dysfunctions, and serious interpersonal difficulties. The authors use imaginal exposure treatment and imaginal rescripting to replace the recurring abuse-related images with mastery imagery. They provide a comprehensive description of the cognitive behavioural treatment programme that can be implemented with survivors (male and female) of childhood sexual, physical, and emotional abuse.