During my psychiatric training I was cautioned to never treat more than two people with BPD during any one time period, because of the difficulty in treating people with BPD. The reality is that half of the people in psychiatric hospitals suffer from BPD, so this recommendation was a theoretical one, and not a practical suggestion. After decades of work with survivors of abuse, I determined that four persistent inner states are at the core of the living hell of many survivors. Those inner states are: 1. the wounded inner child, 2. the battlefield, 3. the void, and 4. the inner abuser. For those who were sexually abused, there is a fifth persisting condition, namely body armor. While there is one boy sexually molested for every four girls molested, my clinical experience has been mainly with female adult survivors. Because abuse is epidemic and because every one of you is either a survivor of abuse or knows someone who is, I will clarify in some detail the many facets of abuse.