In this session, Dr. Josephson presents several cases in which family interaction is demonstrated to be related to a child’s cognitive style and psychodynamics. Video tape example is used to illustrate these dynamics and discussion focuses on the integration of therapies and their sequencing – individual, family, pharmacologic. This Clinical Consultation Breakfast emphasizes the theory in practice of integrated treatment. Dr. Josephson is Chief of Child and Adolescent Psychiatry at the University of Louisville School of Medicine and Chair of AACAP’s Family Committee. He has a long standing interest in the relationship between family functioning and child and adolescent psychiatric disorders. His writing and teaching have focused on the integration of therapies, including the integration of individual and family therapy and integration of pharmacotherapy and family therapy. Dr. Josephson’s perspective is that multimodal interventions are often the most effective, leading to the important question of sequencing of therapies – when to do what.