Treating teens is tough work. Not only are their problems intense—acting out in areas of sexuality, substances, social cruelty, psychiatric and behavioral disorders—but you have to do double-duty work both with them and their parents, if you really want to have an impact. You can, however, often structure treatment so that you can do it all—use the power of an individual clinical relationship with kids, see their parent(s) concurrently, and hold "focused" family sessions when indicated. In this workshop, the presenter will describe concrete steps to develop trust with kids who know you're also meeting with their parents; help parents see and understand teens' "hidden" selves (without breaking kids' confidentiality); get kids to both talk and listen to their parents with more empathy and less attitude; and challenge rigid interactional patterns without alienating either generation. It's a tightrope act, but you can do this with more control if you learn how and, in the process, often make far more progress than would be possible by dividing the case or rigidly hewing to one clinical format or the other.