The purpose of this chapter is to discuss issues of abuse, vulnerabilities, and intimate partner violence (IPV) for women with disabilities; the psychosocial disparities that these create; and the influence of intersectionality. Psychosocial disparities related to physical and mental health consequences; barriers to intervention and escape from IPV; and other positionalities of type of disability, race, sexual orientation, employment, rurality, and immigration status are presented. Evidence-based counseling approaches and the importance of cultural competence are also discussed. Resources and suggested additional readings are provided.