In this article we discuss whether or not it is ethical to treat a fifteen year old child, who is able to consent to psychiatric treatment but does not wish his/her parents to be aware of the treatment with an antidepressant or the referral to a psychiatrist. We look at this particular case from a legal and Psychiatrists perspective. Also we show that there are variations in practices in different parts of the world. From the late 1960's there have been changes in the law regarding children's consent to treatment of those under eighteen. The general impression was that children are always dependent on others and unable to understand the implication of their decision whether to consent or not without their parents' permission or even to refuse any psychiatric intervention. Anybody facing such a scenario would be well advised to seek legal opinion before proceeding. Legal consultation in the country that we are practicing is desirable as there are wide variations in practices between different countries. Moreover clinical experience and judgment are also important to deal with such a situation. Finally what is not in doubt is that the child deserves to be considered as an individual and his/her rights protected. The doctor's main duty is to the child, who is the patient and every opportunity to allow them to give proper informed consent must be provided.