This introduction presents an overview of the key concepts discussed in the subsequent chapters of this book. The book draws on psychoanalyst's experiences as parents and professionals to consider what has changed and what has stayed the same for parents raising young adults in modern times. It explores developmental delays, new understandings of gender identification, social challenges, and resiliency in the face of loss. The book examines the evolving understanding of gender and sexuality. It also explores the ways in which families regain strength, balance, and a new equilibrium after a traumatic experience. The book considers how parents can approach such issues with understanding and forbearance, making themselves available to support their young adult child through difficult experiences. It delves into common themes and emotional complexities facing the families of young adults with developmental difficulties. The book addresses several psychosocial challenges that affect young adults in our modern world, including adoption, alcoholism, trauma, and immigration, among others.