Economic development and globalisation have had both positive and negative consequences for many people in Botswana. The changing economic situation has affected their social, economic, spiritual, health, and psychological status. The population most at risk is children. Children face several challenges such as malnutrition, sexual and other forms of abuse, poverty, orphanhood, abduction and trafficking, and HIV and AIDS. These challenges not only have affected children's lifestyles but have also constituted a challenge to service providers, especially social work practitioners. The multiple difficulties encountered by children have serious implications for practice, especially in the clinical domain. This article attempts to highlight some of the issues affecting children in present-day Botswana and their implications for social work practice with a specific focus on counselling.