Testing FIRST in Youth Outpatient Psychotherapy

This study tests a treatment approach called FIRST (Flexible Integrative Research-based Supportive Therapy) in children receiving outpatient mental health care. It is designed to address a range of emotional and behavioral problems including anxiety, depression, conduct problems, and trauma symptoms. **You may be eligible if:** - You are a child or adolescent between 7 and 15 years old - You have clinically significant anxiety, depression, conduct problems, or post-traumatic stress symptoms - You take all your school classes in English (indicating English fluency) **You may NOT be eligible if:** - You have active suicidal thoughts, a recent suicide attempt, or were hospitalized for suicide risk in the last 3 months - You have an eating disorder, schizophrenia spectrum disorder, autism spectrum disorder, or an intellectual disability requiring special school placement - You are being referred exclusively for ADHD inattentiveness or hyperactivity Talk to your doctor to see if this trial is right for you.