Despite years of therapeutic services, Ezra’s behavior became so severe that mobile crisis and the police were called multiple times. The family was referred to Family Centered Treatment (FCT) as a last option before hospitalization. Initially Ezra was not engaged, but eventually he began to share and communicate his feelings. The therapist helped Ezra and his adoptive mom to have difficult conversations in a productive way. Since completing the program, Ezra’s behavior has improved. He feels more understood, his relationship with his mom is improving and he is doing better at school.