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The author recounts his experience training simultaneously in transference-focused psychotherapy and psychoanalysis while treating youth with personality disorders. He discusses their similarities and differences, and considers the dilemma of selecting the appropriate treatment modality when both may be helpful. He then illustrates his handling of this dilemma with case material from the treatment of a 12-year-old girl with borderline personality disorder.

Reflections on the Treatment of Youth During Simultaneous Training in Transference-Focused Psychotherapy and Psychoanalysis