Counselling can be a long-term process, whether by initial design or because of the emergence of new concerns within work originally planned as short-term or focused. Occasionally, counselling is long-term by default, when the counsellor or client cannot face ending or when the counsellor cannot envisage other ways of working with a client. This book examines the complex and varied issues which can arise, with an emphasis throughout on skilled, professional and ethical practice. Encouraging trainees and practitioners to think about the day-to-day realities and issues of long-term work, the book considers working parameters and issues of definition, setting and orientation. It also focuses on assessing and managing the work