It is emotionally taxing for therapists to work with severely traumatized people. The clients’ traumatic experiences can evoke in therapists intense emotional reactions such as horror, anxiety, and disgust. However, they also evoke intense positive engagement with the traumatized clients. A recent study (Smith, 2009) showed that trauma therapists are no more anxious or depressed than other therapists. Nonetheless, the emotional burden can lead to different types of problems that are discussed in this chapter, which also includes a few recommendations for dealing with these problems.