Since 2008, a group of AACAP members have been collecting clinical case vignettes describing how they help young people cope cognitively and emotionally with the world—in their neighborhoods, at school, on the Internet, at doctors’ offices and hospitals, in church, at court, and among cultures other than their own. In this Clinical Case Conference the speakers present a selection of those case vignettes, describing the problems the child faces beyond home, the meaning, what the psychiatrist did or said, what the child (or family) then did or said, how it resolved, and what comments, based on the case, the psychiatrist has for other practitioners. Each case vignette falls into one of four categories: loving and liking; competing and hating; finding an identity; and being unusual or facing unusual circumstances. The presenters emphasize helping children face their problems in the real world beyond home, and educating and supervising other professionals and families who deal with these children. New techniques and practical ideas are discussed in a group setting, among peers.