Many children and adolescents referred by schools for psychiatric consultation present with highly complex clinical pictures that do not fit neatly into classic diagnostic categories. These real-life clinical challenges are minimally addressed in the existing literature, yet child and adolescent psychiatrists are viewed as leaders in making both psychiatric and educational recommendations in these difficult situations. However, they are often in a dilemma regarding not only the student's diagnostic and psychiatric treatment needs but also how to guide the parents and school administrators to a collaborative agreement that is in the best interests of the child. Other challenges may include risk assessments for students who are making threats in school (2) as well as the intricacies of interfacing with lawyers, educational advocates, and psychiatric emergency department staff. This text is important because it addresses many of these concerns. Each chapter is relevant to the day-to-day work of the school psychiatrist. Chapters 7–10 focus on critical aspects of the assessment of violent children as well as redefining the role of the psychiatrist as a team leader in this process. Chapter 10, titled “Risk and Threat Assessment of Violent Children,” provides an excellent delineation of how to conduct a threat assessment and includes focused, practical suggestions for the clinician. Each chapter is replete with complex case examples that ring true as actual cases with which those of us involved in this field often struggle. Far too often, texts of this nature do not include case examples, and those that are cited tend to be oversimplified and unrealistic. In this book, the cases are quite detailed, compelling, and relevant. They highlight the deep levels of distress experienced by children who are caught up in the difficulties of school bullying and violence. Ironically, the length and details of some of the case examples and the smaller font in which they are presented initially appeared somewhat daunting to this reader; however, once one starts reading the cases, it will be easy to become engrossed. Perhaps one drawback is that the interventions in these cases almost uniformly had successful outcomes. Including situations with less than optimal outcomes and analyzing why such outcomes occurred may have made the cases more thought-provoking and realistic.