Abstract Many mental health professionals have identified deficits in conventional psychotherapy for the treatment of posttraumatic stress disorder (PTSD) and have called for better methods (Fisher, 2004; Van Der Kolk, 2002). This article proposes resolutions to the following issues in the treatment of PTSD. (1) Are abreactive "retraumatizations" necessary? (2) How can dissociative experiences be efficiently accessed and integrated? (3) What are effective ways to deal with speechlessness in unresolved trauma? (4) How can physical symptoms or "body memories" be resolved efficiently? This article proposes a new paradigm in the treatment of PTSD, Emotional Transformation Therapy (ETT), that addresses these difficult issues (Vazquez, 2004).