--- - |2+ Abstract Objective The mental health needs of women affected by intimate partner violence (IPV) and living under continuous domestic violence are currently not well understood. The present study investigates the feasibility and efficacy of narrative exposure therapy (NET), compared with commonly used counselling (treatment‐as‐usual, TAU), in a group of currently IPV‐affected women in Tehran, Iran. Method Forty‐five IPV‐affected women with a diagnosis of post‐traumatic stress disorder (PTSD) were randomized to 10 to 12 sessions of either NET (n = 24) or TAU (n = 21). Primary outcome measures, including PTSD, depression, and perceived stress symptoms, were examined at pretreatment and 3‐ and 6‐month follow‐ups. IPV experiences, general lifetime traumatic events, childhood adversities, borderline symptoms, and daily functioning impairment were also inspected. Results NET participants showed a significantly greater symptom reduction in comparison with the TAU group in PTSD, depression, and perceived stress at both follow‐ups. Improvement in daily functioning and reduction of IPV experiences and borderline symptoms at 3‐ and 6‐month follow‐ups were pronounced but not significantly different between the two treatment groups. Conclusion IPV‐affected women living under continuous threat and violence would benefit from trauma‐focused interventions such as NET. - Clinical Psychology & Psychotherapy, EarlyView.