Working in forensic settings with clients who have histories of damage and abuse can be a demanding, disturbing, thrilling, and unique experience. It means building connections and instilling the capacity to think before acting—far more than just providing therapy. At a service level, it requires a compassionate culture that promotes the ability to reflect on complex interpersonal dynamics at all levels of the organization. Cognitive Analytic Therapy (CAT) is an accessible model for understanding human relationships that offers a common language for teams and organizations. Reflective Practice in Forensic Settings brings together a range of clinicians to share their experience and approaches, exploring ways in which the CAT model can be applied to develop reflective practice in secure contexts. Together, they also offer valuable guidance for any practitioner seeking ways in which to develop a more relationally informed and reflective therapeutic service.