This is a recording of the keynote and opening for our center's Symposium on Harm Reduction, Healing Justice, and Mental Health Approaches on May 7, 2024.  Delivered by Jen Leland and Maurice Byrd, two therapists with extensive experience as co-founders of harm reduction in the San Francisco Bay Area, the keynote outlines the four-part history of harm reduction movement in the U.S., and the guiding parts and principles of harm reduction therapy within a conversation that explores the concepts and the tensions of this practice.