Pregnancy in adolescence and the developmental sequelae for both mother and child have been an ongoing concern in our society. Clearly, early intervention offers us a chance to enhance the teenager's opportunity to become a competent parent, as well as a chance to support the healthy development of the child. The therapeutic intervention we describe in this article is aimed at strengthening the emotional relationship and increasing the psychological understanding of high-risk, inner-city adolescent mothers for their babies, thereby improving the mothers' ability to provide responsible and growth-enhancing maternal care. Two clinical cases are presented to demonstrate the usefulness and effectiveness of our approach.