This chapter will address the clinical, legal, and practical methods that may be used to manage the risk of stalking behaviors. Multiagency interventions and victim safety strategies are stressed. Practical security approaches and appropriate responses to stalkers’ harassment are discussed. The special issue of managing the stalking of clinicians is addressed. Finally, psychiatric treatment of the stalker is discussed as a method of managing risk. The chapter concludes with a case example and discussion of practical methods of stalking risk management. The effective risk management of stalking is a dynamic process that requires skill and experience in many of the areas previously discussed. Understanding stalking from a medico-legal perspective (see chapter 7) as well as a risk assessment perspective (chapter 3) is necessary for an effective and comprehensive approach to risk management. This special knowledge is often necessary in addition to a skilled approach to psychiatric diagnosis and treatment due to the high rates of major mental illness observed in stalkers (Mohandie, Meloy, McGowan, & Williams, 2006). Because stalking can have a substantial impact upon victims, we have devoted a separate chapter to victim management and considerations (see chapter 5). This chapter will address the clinical, legal, and practical methods that may be used to manage the risk of stalking behaviors. Multiagency interventions and victim safety strategies are stressed. Finally, psychiatric treatment of the stalker is discussed as a method of managing risk. Any well-reasoned risk management approach to stalking behavior must first address the “intervention dilemma” (White & Cawood, 1998). The intervention dilemma involves the consideration that taking direct action toward the stalker to reduce stalking may actually increase the risk of violence, and in some cases, no direct action may be preferable. An active response by law enforcement or others may have three possible outcomes: (1) risk reduction, (2) risk enhancement, or (3) no effect. In some cases, an active intervention may actually enflame the stalker by challenging or humiliating him or her. For this reason, there can be no single “best approach” to risk management. Rather, risk management approaches must consider the significance of individual-specific nuances and preferably involve the input of different disciplines.