Physical abuse, especially severe, chronic abuse, is a significant sou
rce of stress for women who experience it. A combination of external a
nd internal factors can inhibit women from ending abuse in an intimate
relationship. Counseling can be useful in addressing internal barrier
s. An ecological model of intervention is presented based on the Lazar
us and Folkman (1984) conceptualization of stress and coping. The mode
l also recognizes the stages abused women may experience in their appr
aisal of the abuse experience. The proposed model includes attention t
o an orientation to practice with this client group, engagement in tre
atment assessment, intervention strategies, and evaluation of effectiv
eness.