The objective of this article is to outline factors for consideration in the successful engagement of adolescents in therapy. Adolescents face a number of barriers that can affect their ability to successfully engage with mental health clinicians (Booth, et al., 2004). Those working with this population should have a keen awareness of these barriers and their impact. As a first step, preparation for the initial interview with an adolescent is vital. Careful thought should be given to those involved in the assessment process and the manner of their involvement, giving the adolescent as much input as possible. The importance of an honest and respectful attitude should not be underestimated.