In recent years, the Self Confrontation Method has garnered significant attention as both a method of assessment and change in counseling. In this paper, the authors provide a review of the utility of the Self Confrontation Method as a practical tool for counselors. Toward this end, the conceptual and empirical foundations of the Self Confrontation Method are first examined followed by a focus on its practical application to counseling. Consistent with narrative and constructivist approaches to counseling, the Self Confrontation Method represents a viable procedure for contextualizing client problems, assessing the unique organization of client self-schemas and emotional patterning, and facilitating progressive client change and development.