Music has a significant impact on the daily lives of adolescents. This article provides music interventions that school counselors can use with adolescents: music listening/sharing, lyric revision, improvisation, and use in classroom guidance lessons. Also provided are the benefits, limitations, and ethical considerations for using music interventions while considering issues of imposing or validating values, confidentiality, and duty to warn with students. A case illustration demonstrating the integration of music interventions into a school counseling session with a student experiencing academic and behavioral problems is provided. Recommendations for school counseling practice are presented.