This study used qualitative methods to examine present practices in psychologically assessing and treating torture survivors in National Consortium of Torture Treatment Programs (NCTTP) across the United States. Twenty-five NCTTP Center Directors were contacted and 21 agreed to participate. Seventeen therapists from 10 different centers ultimately completed a survey and eight participated in a follow-up phone interview. Unstructured interviews, the Hopkins Symptom Checklist, and the Harvard Trauma Questionnaire were employed by the majority of therapists to assess functioning. Psychoeducation, supportive counseling, cognitive-behavior therapy, and family counseling/therapy were the most common treatment approaches employed. Therapists identified treatment outcome research and population-specific outcome research as significant needs. Therapists identified barriers to treatment including clinic funding, lack of interpreters, and client transportation, legal, financial, and cultural/linguistic barriers.