I regularly work with children if their parents are willing to become active participants in the therapy. Very often, parents are coached to work with their child on behavior change principles or experiments with a different parenting approach. Individual therapy per se with young children is difficult to accomplish on a teletherapy system because use of tools and activities that assist childrens' communication (e.g., use of play therapy, puppetry) are less effective. I often work with adolescents individually and in conjunction with joint appointments with their parents/guardians. Therapy with couples lies outside the scope of my training and practice.