In my work with children, I have found it most helpful to first meet with parents.  Parents are the best source of information about their son or daughter, and it is most helpful to me to first know their concerns about their child.  I also prefer to have parents help me determine their own involvement in the therapy, as well as the course of treatment that is best suited for their child.  This initial conversation helps decide whether it is best for me to meet with the child one on one, or to have the parents or siblings present for all meetings.  In most instances, parents stay involved in the treatment, and meet with me on a regular basis.  I have worked with children who are struggling from a wide range of issues, including: anxiety, depression, identity issues, bullying, difficulty focusing at school, body image issues, and substance abuse.