Children and adolescents who are having difficulty coping with stress often present with complaints of physical discomfort. Effective treatment approaches exist for many of these issues. Among high-conflict parents, however, children's medical issues can become another canvas for conflict, with parents focused more on blaming one another for the child's distress than on options for assisting the child.Professionals can be drawn into the conflict to such a degree that they overlook essential steps for addressing and managing these issues. The authors present a researchinformed model for managing medical and psychophysiological issues amid parental conflict.