While domestic violence (DV) is prevalent in all socioeconomic settings, identity highly impacts how one experiences and recovers from abuse. This work examines US-based Muslim women's challenges when seeking help and healing from domestic violence. Through participatory interviews with 23 participants within the DV ecosystem, we find that victim-survivors' autonomy is compromised throughout the abuse, within their immediate communities, and when involving the criminal justice system. To address such harms, we adapt a survivor-centered transformative justice (SCTJ) approach, a framework to discern individual and systemic harm, to understand how to design alongside victim-survivors, and to focus on victim-survivors' autonomy. We explain under what conditions an SCTJ approach may be productive for designers. We use insights from our interviews to highlight intervention areas for reducing harm, repairing harm, and promoting healing for victim-survivors. Lastly, we offer guidelines to design for harm reduction, accountability, and systemic change.CCS Concepts: • Human-centered computing → Empirical studies in HCI .