This seminal work combines the results of over twenty years’ research and practice. It examines the processes from the point at which a person is first diagnosed with an eye condition to how and where they get rehabilitation and counselling. At the micro-level, it covers how counselling can work for differing people at different stages in life and sight loss, while, at the macro-level, it shows how services that do not work coherently and consistently may cause unnecessary and continuing levels of depression. The book includes recommendations for changes to the system, notes where these are happening, and highlights, for academics, sight loss workers, educators and policy makers, the most important areas to address for the future at every level.