This monograph instructs counselors on how to better recognize, understand, and treat clients underlying problems. The model presented helps uncover the origin of these core concerns, provides a means to address them, and challenges counselors to move beyond the DSM to better serve their clients. This framework will also assist counselors in providing more targeted treatment plans. *Requests for digital versions from the ACA can be found on wiley.com. *To request print copies, please visit the ACA website.