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The coronavirus pandemic and the move to teletherapy has created uncertainty among both clinicians and patients. As therapists who work with children, we have heard from parents who are desperate for support and advice about how to respond to their children's behavioral changes, as well as those who feel too overwhelmed to continue their children's sessions at the moment and want to take a break from treatment. We have had to rethink the frame in concrete ways, reimagine how to play, and renegotiate parameters around confidentiality. At a time when fear and uncertainty make mentalizing difficult, the hallmarks of a mentalizing approach-curiosity and flexibility-are most critical. This paper will describe how the Mentalization-Based Treatment for Children (MBT-C) model offers a framework for an integrative approach that can inform treatment via teletherapy, so that clinicians can continue supporting young people and their families through this period. We will begin by describing how the mentalizing stance, particularly an awareness of our own mentalizing capacities in the moment, has become more important than ever. Ways in which clinicians maintain their mentalizing in the face of the mentalizing breakdowns will be also discussed. Finally, we illustrate with clinical vignettes how the developmental levels of mentalizing-attention control, emotion regulation, and explicit mentalizing-can inform the structure, techniques and interventions in teletherapy with children and parents.

We provide a general introduction to the theoretical and empirical sources informing the development of the Infancy and Early Childhood Section (IEC) of the second edition of the Psychodynamic Diagnostic Manual (PDM-2). We offer a brief exploration of the evolution of developmental psychoanalysis and its applications to infant mental health, along with an example of applying the IEC framework to clinical and developmental data from a longitudinal study based on developmental and psychodynamic principles. This article illustrates the evolution of theory in the context of interdisciplinary integration and explores its implications for diagnosis and clinical formulation.

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