Adolescence is a particularly complex developmental period, marked by significant neurological changes such as a reduction in mirror neuron activity. This, combined with the individuation process, can contribute to increased risk-taking behaviors, as well as mental health and academic challenges. During this time of profound change, the addition of mental health concerns can understandably place immense strain on the entire family system. We deeply respect and acknowledge the dedication and resilience of caregivers navigating these challenges. Our approach is to meet families where they are—if incorporating additional supports at home is the appropriate next step, we will work closely with families to implement those resources. However, if an adolescent’s behaviors indicate they are at imminent risk or “walking along the edge of a cliff,” we will act swiftly to guide families toward alternative, more intensive options beyond the home environment to ensure safety and well-being.