This text is a response to changes currently affecting counselling. A team of contributors identify the pressures forcing change, taking into account national and European legislation and the drive from within counselling towards greater professionalism and accountability. Part one considers the impact of accredation, National Vocational Qualifications (NVQs), developing Codes of Ethics and evaluating effectiveness. Part two looks at new interventions for common problems, such as smoking, depression, stress and abuse; new settings for counselling, including the workplace and medical practice; and new techniques, such as using narratives. The final part discusses issues in training, raising questions about the place of a feminist perspective and whether there are still myths about counselling which need to be challenged.