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Based on their experience of mobile clinic in a rural environment and on clinical cases, the authors develop the specificities of rural families and the consequences they have on caring for adolescents and their families. At the heart of these scenarios specific to rurality, the development of adolescents clashes against the functioning of family models from which it is sometimes hard to escape, both physically and mentally. Violent acting outs, attempted suicides, loss of interest in school and various other breakdowns are evidence of the difficulty in finding one’s position in a “family psychic apparatus”. The authors show how clinical meetings and care work carried out by both psychologist and educator, based on the young person’s symptoms, enable the family members to be involved. This can put into words and give sense to a sometimes pathogenic functioning. Through distinction between family and adolescent settings, without re-enacting family secrets, they learn and try to break the cycle of family traumatic experiences, such as incest.