The ACTION treatment program was developed as a school-based CBT program for girls in grades 3 to 6 to address depression. It has shown to be effective in reducing depressive symptoms and disorders. The treatment relies on a strong case conceptualization and follows a treatment protocol that is used to help children learn and apply coping skills, problem-solving, and cognitive restructuring. A case description is presented to give a detailed example of how this treatment protocol can be applied in individual therapy, and an emphasis on the therapists' thoughts and decision-making points is highlighted. Many subtle aspects to treating depressed youth are described.