Direct therapeutic exposure (DTE) is one of a class of exposure-based treatment techniques that includes in vivo and imaginal flooding, and implosive therapy. DTE is a recommended technique for the treatment of persons experiencing distress as a result of exposure to traumatic events (e.g., accidents, combat, sexual assault). However, the process of applying DTE has not been sufficiently documented so that it can be applied by practicing clinicians. Through the use of an illustrative case example of a motor vehicle accident survivor, the authors strive to clarify the manner in which DTE is implemented. In doing so, an attempt is made to set aside many of the misunderstandings regarding DTE that have led in the past to improper (and thus unsuccessful) application, or to avoidance of DTE. As the case study highlights, however, DTE by itself may not be sufficient, and when it is not, it should be coordinated with other treatment modalities to maximize and maintain treatment gains.