ABSTRACT This article outlines and discusses the rationale for each of ten steps recommended in the initial stages of treatment for survivors of sexual abuse, especially when victimization occurred in childhood or adolescence, and offers abbreviated case illustrations. The themes suggested in this paper are more fully developed in Treating Sex Offenders in Correctional Institutions and Outpatient Clinics (1992) and The Merry-Go-Round of Sexual Abuse: Identifying and Treating Survivors (1993), both published by The Haworth Press, Inc.