In addressing infant mental health concerns, the parent-child relationship is often the focus of intervention. Current research is addressing the efficacy of certain interventions and new, modified forms of interventions are emerging. These interventions focus on the parent-child interactions in the moment. Videotaping, coaching, modeling, video feedback, and infant-led floor time are all used in this context. Parents and infant are seen together and the work takes a dyadic focus. The primary goals are to promote positive parenting behaviors, reduce negative parenting behaviors, increase sensitive bondage to infants and promote a secure attachment in the infant. Sessions can be conducted both in the family’s home or in a therapy room with age-appropriate toys available. Discussion of the parent’s observations and experience of the child is intended to create empathy and sensitivity to the child.