In a pediatric mental health consultation, it is essential to create a safe and trusting environment for the child and their family. It is key to first interview the parents to understand the reason for the visit, family history, and school/social context. Then, the child or adolescent is interviewed, adapting the questions according to their age. Emotions, behavior, social relationships, and development are assessed. Symptoms such as sadness, anxiety, irritability, or social withdrawal should be explored. It is crucial to observe warning signs such as self-harm or sudden behavioral changes. Encouraging the child’s emotional expression through play or art is recommended. Active parental involvement is vital. Guidance should be offered without judgment, and referral to a specialist should be made if necessary. Continuous follow-up is essential for effective management.