While teenage-hood can be so exciting and novel, it can also be a time full of unending growth, challenge, and sometimes despair. At times, the many transitions from child to teen, and teen to adult lend their own unique and confusing difficulties. Working with teens includes assessing them and the world in which they live, including their friends, school, activities, and family. Teens sometimes begin to face their first periods of depression or anxiety, adding layers of difficulty to their everyday lives. Whatever might be bringing a teen to therapy, youth-sensitive therapy in the context of their everyday environment can be an effective tool for change in many teens and families’ lives. The goal for teens coming to therapy always resides in the framework of looking towards their future as a healthy, balanced, and thriving adult.