If you bring your children to my office, you may expect that I would consider the parents as the primary clients. Children do not have the brain power or maturity of influence needed to make solid change in families. Children would be seen for counseling, however, parents would be coached, as the primary clients, to modify functioning in support of the child with symptoms and in support of the nuclear and extended family system. This necessarily requires significant commitment on the part of parents. Any change that is solid in a family system will occur through concerted efforts on the part of the parents as the leaders.