’Insight out’ psychotherapy takes you into the world of paradoxical interventions as a unique way to help the criminally insane, severely mentally ill, and even outpatients. These interventions are more than just reverse psychology. They involve twisted, seemingly irrational ways to address psychosis, personality disorders, and other mental health diagnoses for the specific purpose of quickly and effectively decreasing acute dangerousness and resistance to change. The reader will follow in the author’s psychologically strategic footsteps through firsthand interactions in dealing with those who committed murder, arson, and other serious felonies. How the author addresses dangerous delusions, hallucinations, extreme paranoia, and other disorders for patients who have shown minimal improvement from the more traditional methods of treatment offer a refreshing view to motivate movement out of helplessness and hopelessness. The treatment settings range from a specialty unit for treating psychiatrically acute prisoners who were too dangerous and destructive in their assigned prisons to be safely managed without the unique services provided, an elite forensic hospital with similar cases in which the author worked for 32 years as a frontline psychologist, clinical supervisor, and consultant, and how the author integrated many of these unusual approaches for outpatient cases in the community.