Trauma involves dissociation, and dissociation from the reality of the present moment can produce varieties of fantasies, such as a revenge fantasy or a fantasy that the traumatic event did not occur. These fantasies can become an integral aspect of the trauma itself, capable both of triggering posttraumatic symptoms and interfering with treatment and healing. Throughout the history of psychology, fantasy has not been discussed as an integral element of the trauma that actively contributes to the ongoing cycle of posttraumatic symptoms. This article outlines a positive perspective on trauma-related fantasies and the importance of treating them in the therapeutic process.