This interview discusses the change to a more holistic approach in working with sexually abusive behaviour by children and young people. Helen Kambouridis is a Senior Psychologist at the Gatehouse Centre for the Assessment and Treatment of Child Abuse at the Royal Children’s Hospital in Melbourne. In this interview, she talks about sibling sexual assault, the treatment for children and young people with sexually abusive behaviour, family-based therapy, the role of shame for perpetrators, and the impact on parents.