R amona, a 15-year-old adolescent girl from a small town outside of San Salvador, the capital city of El Salvador, entered family therapy on her release from an Immigration and Customs Enforcement (ICE) detention center after crossing the U.S. border without authorization. After living with an aunt, uncle, and cousin for a few weeks, Ramona began having academic problems and externalizing behaviors, including drug use and problems with peers.As a child in her home country, Ramona had been highly responsible, caring for her younger siblings while her mother worked, and trying hard to provide a safe environment for them after her mother and father were kidnapped. She had become cautious and vigilant as a result of the hazards she experienced in her country of origin and during her journey to the United States. She traveled for 3 months from El Salvador to the U.S.-Mexico border with her 14-year-old cousin and her 17-year-old aunt. During the journey, she suffered multiple harms including robbery, rape, and threats to her life. She crossed the