In her discussion of treatment approaches, Strong highlights the immediate necessity to learn to cope without self-injury and the long-term necessity of dealing with underlying PTSD. She walks the reader quickly through various approaches—medications, psychotherapies, skills, expressive therapies, and eye movement desensitization and reprocessing—always emphasizing pragmatism and combinations of therapies. She provides a reasonable summary of dialectical behavior therapy, the only psychosocial treatment that has been empirically demonstrated to reduce self-mutilation for borderline patients, although she fails to grasp that it is a long-term model with a depth psychotherapy that addresses PTSD in detail. She presents several credible case vignettes with successful outcomes, offering the reader realistic hope. As far as I am aware, this book has no peer at the moment as an informative, compelling read that gets across the suffering and plight of those who self-mutilate while offering accurate, up-to-date information and realistic hope for recovery.