Book excerpt: Transforming Despair to Hope: Reflections on the Psychotherapeutic Process with Severely Neglected and Traumatised Children offers a thorough overview of the problems and rewards of trying to help severely neglected and traumatised children. Drawing on over 40 cyears of clinical experience, Monica Lanyado provides a historical and social perspective on this challenging population, as well as helpful theoretical frameworks and thoughtful support for all professionals and clinicians working with these children. This book brings together selected past writings and new chapters from Lanyando. In it she describes the consequences of severe neglect and trauma on a child’s emotional development, and then goes on to examine what it is that brings about positive change. By using vivid clinical examples of therapeutic practice with these children, she elucidates the difficulties associated with this population, as well as for those who care for them in families and in residential settings. Transforming Despair to Hope is a valuable resource for child and adolescent mental health professionals and trainee clinicians, as well as those in related fields working with children in need.