Background: This is the second of two papers describing a case study of two young men with complex learning disabilities. They presented with severe trauma-related mental distress following alleged sexual, emotional and physical abuse. This paper concerns the psychological intervention and support provided for them and their families over a period of 2 years. There is a lack of research, guidance and evaluated therapeutic models for the assessment and treatment of people with complex learning and communication needs following abuse. Methods: In this case, therapeutic interventions were modified from systemic and narrative therapies and interpersonal psychotherapy. Creative techniques included acting, drawing and walks to develop a therapeutic relationship, to experience affect in a contained and safe way and to support the development of coherent narratives. Results: Recovery moved through stages of remembering and recounting, understanding and assimilating and improved mental well-being and coping strategies. Conclusions: Modified models of therapy proved effective and further research recommended. The personal strengths and family support of the men were critical in progressing recovery. [For Part 1, see EJ1294207.]