This chapter presents the case history of a 17-year-old Hispanic female, who was an A/B student and active in school and expressed interest in attending college. She shared about her history of moving quickly in and out of sexual relationships. Like mental health counselors, professional school counselors receive training to work with individuals, families, and groups to facilitate awareness and personal and social growth. As a director of guidance and counseling, there were occasions when the author’s support is required in the form of consultation, collaboration, or the provision of counseling services to students. The patient acknowledged that her home issues caused social challenges at school. Her goal centered on finding a way to live a life free of drama, to reestablish a relationship with her mother, and to find independence. After counseling, the patient maintained positive peer relationships at school, and reported that her home life was going well.