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Unlike adults, children do not walk into a therapist’s office asking for help. Rather, children and adolescents typically find themselves in a therapist’s consultation room when they have exceeded the limits of their environment to care for them (as in externalizing disorders) or have raised the concerns of significant others in their lives (as with internalizing disorders). Given this reality, the therapist must ask himself or herself, “Does it really make sense for me to leave these ‘others’ in the waiting room while I treat this child individually as I would an adult?”
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