Adolescent counselling psychology services come in many shapes and sizes. This chapter provides an overview of some of the major settings in which such services can be found and the major considerations related to them. In turn, the different settings include Child and Adolescent Mental Health Services (CAMHS), schoolbased counselling services, counselling in the community and online and telephone counselling. Each of these sections has been written by an individual, or individuals, working at the leading edge of such development and aims to highlight some of the key factors related to such ways of working. As is noted at the end of the chapter, these sections will hopefully provide a useful resource for considering therapeutic practice in these different settings.