Describes approaches for working with children exposed to catastrophic community violence. Details one program, Posttraumatic Child Therapy, and its phases: pretherapy, stabilization of biopsychic response, returning to psychogeographic scene, and completion-moving toward growth and integration. Recommends that therapists must stretch counseling skills to utmost levels of flexibility and ingenuity in order to keep these families in crisis from further destruction. (Author/JDM)