Working with high net worth individuals can be alluring. Such concierge service might demand family meetings in the middle of the night or private jets. Nonetheless, trauma and the complexities of individuals and families with high net worth must be understood. This interactive presentation will present 12 evidence-based facts that make good sense when working with high net worth families. Highlighted among them is the reality that intervening involves the family of origin as well as the business family and members of the individual’s entourage. The importance of alignment with wealth managers will be highlighted, and treatment options will be outlined that account for large egos and confabulations. Clinicians will walk away with a better understanding of how to address this global population.