There are few if any more gut-wrenching experiences than being cut off by a close friend or relative. Endless examples in fiction attest to it, and nearly everyone the authors interviewed for this book had a story to tell. They or someone they knew had been on the receiving end of a significant cutoff, or had initiated a cutoff themselves. In some cases, initiated or not, a cold or angry cutoff literally made the person sick. Given the magnitude of the problem and the pain it causes, it is surprising that so little has been written to help clinicians understand the genesis of cutoffs, the complex dynamics involved in particular cutoffs, and how to undertake the delicate work of helping clients consider and work toward reconciliation. Not on Speaking Terms is designed to close this gap.