This article chronicles the development of the field of Sexual Offender Treatment in the United States since the 1980's. It offers an analysis of the Relapse Prevention model, a case study, and a summary description of contemporary field advancements. Through historical and personal reflection, the author summarizes lessons learned as five simple strategies to enhance the efficacy of Sexual Offender Treatment: (1) Focus first on the client's self, assessing and treating old wounds, (2) highlight affective factors, (3) cultivate empathy for the abuser and a landscape for change, (4) embrace the mystery of wholeness, and (5) care for the therapist. This article emphasizes and urges a re-focusing in the field of sexual offender treatment in order to both recognize the importance of and prioritize participant response to treatment delivery, the impact of the therapist upon treatment outcome, and a return to the basic principles of general psychotherapy.