Purpose: The focus on parent counseling following the initial evaluation of young children who stutter is not a new direction. The purpose of this article is to summarize core components regarding addressing the questions of parents of children who stutter. Methods: This analysis of scientific literature provides a guide to responding to these principal questions about childhood stuttering using research data and counseling methods. Results: Given the breadth and depth of the past literature in this area, it is important to understand that the therapeutic relationship with the family of a preschooler who stutters begins at the initial evaluation. As a result, clinicians should work to achieve a dialogue that strikes a balance of encouraging parents to take proper action, easing irrational fears, and instilling hope of realistic, positive communication results. Conclusions: Achieving an equilibrium of motivation and assuredness during these tough conversations warrants skills in counseling-based approaches.