Self-hatred is a core driver of suicidal thinking and behavior, yet it's almost never directly addressed in therapy. I Hate Myself. Now What?: A Step-by-Step Workbook for You and Your Therapist provides the practical tools that have been missing. Blaise Aguirre, MD, Assistant Professor in Psychiatry at Harvard Medical School and an internationally recognized expert in treating mood and personality disorders, offers hands-on resources to help readers overcome self-loathing and challenge the incorrect belief that they are a burden. The workbook delivers checklists, questionnaires, therapeutic techniques, practical strategies, and structured exercises designed for both self-guided work and collaborative sessions with therapists. These interventions derived from evidence-based therapies bridge the gap between understanding self-hatred and actively addressing it, providing concrete methods to challenge destructive thoughts and rebuild self-worth through targeted, actionable steps grounded in proven therapeutic approaches. This essential companion to the acclaimed I Hate Myself includes specialized exercises for both individual use and therapist-client collaboration, creating a bridge between self-help and professional treatment. The workbook provides step-by-step interventions for this under-examined component of suicidality, offering therapists immediately implementable techniques and giving individuals structured pathways toward healing. For anyone struggling with self-loathing, the mental health professionals who guide them, and loved ones supporting their journey, this is an indispensable resource for those seeking to overcome self-hatred and reclaim their sense of worth.