The chapter explains how changes and 3KMP are intertwined to produce a method of “doing” adventure therapy. It deals with a case study using the changes model to actually do adventure therapy. S. Bacon and R. Kimball identified three ways that adventure therapy uses metaphors: spontaneous, analogous, and structured. With analogous metaphoric transfer, adventure therapists use discussions, structured reflective activities, or debriefing techniques following the adventure experience. In the Action and Novelty stages of changes, the therapist looks at two methods of structured metaphor transfer: isomorphically framing client perspective prior to the adventure experience and indirectly framing the experience through paradox and double bind techniques. The intent is to demonstrate the thinking of the therapist when presented with clients from common diagnostic categories seen in adventure therapy. The therapist loses if he or she forces the client to try and comply with direct treatment efforts, possibly even resorting to negative consequences such as physical aggression.