Certain symptoms in disturbed or problematic children are believed to be the result of experiential difficulties. Other symptoms are attributed to biological factors, only to be remedied by medications. It is argued here that all psychological symptoms--even those as severe as delusions and hallucinations--have meaning and are directly related to unmet needs within these children and youth. In this article, the author describes how addressing the Circle of Courage needs of belonging, mastery, independence, and generosity may foster positive growth, even when symptoms can relate to brain-based disorders.