This book provides a comprehensive exploration of the challenges women may face as they navigate the multiple roles that they carry. Attention is given to the unique cultural identities that women embody and suggestions are provided to help counselors acknowledge the various aspects of each client’s intersectional identity. In addition to theory, we provide suggestions for practical application of relevant interventions and strategies for helping women achieve their goals. A foundation is provided that explore the multiple layers of development that occur during adolescence, adulthood, midlife, and older adulthood. Women face numerous challenges related to identity development and relationships. These challenges can generate psychological and emotional distress that lead women to seek professional assistance in finding solutions to their issues. With more choices than in generations past, women can face unexpected and unanticipated challenges and barriers to their individual and relational development. This book is organized around contemporary developmental and relational rites of passage women experience in adulthood. Traditional rites of passage include birth, menarche, marriage, and death. These events still hold significance but women’s lives today follow expanded and complex trajectories. Numerous transitions, such as attending college, navigating employment opportunities and the relational challenges that women face in various areas of life, are presented and addressed in this book from a clinician’s perspective providing practitioners with insight and practical knowledge. In this book, we cover choices related to such topics as career, relationships, parenthood, and support networks. We also explore the struggles that women face including abuse, depression, anxiety, feelings of low self-worth, loss, and addictions. Best practices in counseling women are highlighted and utilized in case study examples. The relationships created by women impact their lives and this book helps the reader to gain insight into how women can take ownership for their relationships and choices.