In forensic clinical settings, the most popular model for working with violence has been anger management, which uses a cognitive behavioural approach to explain how stimuli may cause anger via a series of information processing biases. There seem to be a variety of cognitions and thinking processes that are either more common or more extreme in individuals who behave violently. Despite concerns about meta-analytic reviews of treatment effectiveness, and reservations about the relevance of anger management for reducing violence and reoffending, its use is widely advocated in prison and secure settings. We have suggested that low self-esteem is central to violence rather than high self-esteem, but that selfesteem may appear high. Combining cognitive behavioural and psychodynamic approaches produces a formulation that can be used for treatment incorporating not only emotional and behavioural work but also reconstruction of core beliefs and dysfunctional assumptions (rules). It is proposed that because important cognitions relating to violence also relate to self-esteem and the protection of (false inflated) low self-esteem in the face of humiliation, any intervention for violence must also account for a fragile inner sense of self-esteem which, it is proposed, has a causal relationship (along with other factors) with violence. The approach presented here includes a number of core therapeutic tasks. A case study is described to demonstrate its application. It offers a structured but flexible and individually tailored approach to working clinically with violence.Anybody can become angry -that is easy; but to be angry with the right person, and to the right degree, and at the right time, and for the right purpose and in the right way -that is not within everybody's power and is not easy. (Aristotle, 384-322 B.C.) 1 This article is published as a companion piece to ''False inflated self-esteem and violence: A systematic review and cognitive model'' by Julian S. Walker and Jenifer A. Bright, which was published inIntroduction: Developing a treatment package Designing a single treatment for violence would be like giving analgesia as the sole treatment for chest pain -it may be a suitable treatment for some, but ineffective or inappropriate for others. The unique development and causes of the problem for an individual are central for deciding the best treatment. With violence there are a vast number of possible causative, exacerbating, and ameliorating factors which may act differently in combination with one another. The best and most effective treatment will depend on which of these factors are involved and which are most important in increasing the risk of violence (Bush, 1995). Regardless of the therapeutic perspective of the treating therapist, there is no substitute for a good formulation that takes account of both aetiological and maintaining factors as a guide to intervention. Walker and Bright (2009) offer a formulation based on fragile false inflated self-esteem, and the current paper offers a guide to its clini...