One aspect of our clinic that parents, and even some clinicians, may find unusual is our requirement for parent attendance in therapy. We require parents to participate in every session for their child’s therapy appointments. The amount of time spent in the session could be a brief check-in regarding progress or attending the entire session. Typically speaking, the younger the child/lower the developmental level, the more time a parent spends in session; however, we do have some cases where the parent and older adolescent are together for the entire session. There are five main concerns I hear about our practice of involving parents. My hope is to address each concern to some degree and explain how our methods help most patients do better in therapy.