Over all they are friendly and willing to help. They seem to be a little disorganized and overwhelmed by the number of teenagers who need help. My teenager was resistant to treatment and the councilor was never able to help him get motivated to get the help he needed. Part of the problem was the lack of available times for appointments. My son does poor in school and did not want to fall farther behind by having to get taken out of school to see his counselor. Evening appointments are limited and we would have to schedule way-out in advance. By the time the appointment came the crisis would be over and then my boy would feel he did not need the help. Another problem was Blue Stem had him do way too many assessments. For a kid who struggles in school this was a turn off. They gave him a test with 400 questions! After that he never wanted to go back. He never did finished the test, however we still got charged. He went there at least a half dozen times and we never got to the issues or treatment of the problem besides a Rx for Adderall (which made my son sick to his stomach). I admit my son did not give it enough time, however we spent a lot of money for very little results. We also never got a follow up call on any of the results of all the test or were we ever questioned why we never came back. I don’t blame Blue Stem (they seem to not have the resources ($$$) they need to do a very difficult job), I think it is an example of the inadequate mental health care system in this country, especially for kids in rural settings.