Psychiatric, behavioral, and cognitive functioning during late childhood and early adolescence successfully predicted children with 22q11DS who were at highest risk for persistent psychiatric illness in young adulthood. These findings emphasize the critical importance of early assessments and interventions in youth with 22q11DS.

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Working with systems, families, and multidisciplinary teams requires a different mindset from the conventional practice of medicine. The systemic therapist deals with a great deal of information, and there is a steady demand to respond in the moment. I have come to think of my interactions as a performance, but it is a performance grounded in professional responsibility. This is an approach that has been echoed in the writings of family therapists such as Salvador Minuchin, who has talked about the need to be less traditionally “supportive” and to rely more on challenging families to do it “differently” (Miller, 2011). Or to take another example, Bradford Keeney (2009, p. 2) tells us to “move creatively with our clients or our sessions will go nowhere.” He adds: “We must learn to go beyond the guidance initiated by previous clinical trainings. No matter what therapeutic orientation one practices, it must breathe and circulate creativity in order for sessions to come alive.”

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Yale law professor Amy Chua once asked, “do you know what a foreign accent is? It's a sign of bravery.” As an immigrant with a foreign accent, I find this quote thought‐provoking and interesting to consider.