Understanding the contemporary issues and frequently used skills and interventions for helping children and adolescents is essential knowledge for emerging couple and family practitioners. This chapter provides theoretical conceptualization, concise skill-based descriptions, and examples to provide readers with pertinent information related to treating a variety of child and adolescent contemporary issues. The contemporary issues that are reviewed include child and adolescent resistance to therapy, issues related to childhood attachment, sibling abuse, bullying, and learning disabilities. In addition to contemporary issues and skills, there are four additional sections that highlight important processes and skills related to play therapy, filial therapy, theraplay, sandplay therapy, and sandtray therapy. Lastly, the chapter ends with a concise breakdown of helpful youth-based assessments.