There are four main types of intimate partner violence (IPV) described in the document: coercive controlling violence, violent resistance, situational couple violence, and family only/generally violent batterers. Substance abuse is strongly correlated with IPV and increases the risk of injury or death. Common risk factors for a fatal outcome include the use of weapons, stalking, strangulation, abuse in front of others, and substance use. Referral options discussed are domestic violence hotlines, shelters, individual counseling, and safety planning. Barriers to leaving an abusive situation include fear of retaliation, lack of financial resources, threats regarding children, lack of support system, and Stockholm syndrome.