Background: Working as a nurse in children and adolescent psychiatric outpatient care is a complex task when the nurse needs to relate to both the parent´s and children's participation. Making children and adolescents involved in child and adolescent psychiatry requires high demands on the nurse when the patient is under 18 and the parents have the right to make decisions on the patient care. The research shows that health outcomes are getting better and the patient becomes more satisfied if they are more involved. Aim: This study aims to describe nurses’ experiences of patient involvement in child and adolescent psychiatric outpatient care. Methods: A qualitative methodology and design were chosen where five nurses who worked in child and adolescent psychiatric outpatient care were individually interviewed. The interviews were recorded, transcribed and subjected to qualitative content analysis. Results: Based on qualitative content analysis, two domains, obstacles and opportunities, and seven categories were formed. The categories highlighted shared opinions, resource shortage in health care, unsatisfactory care relationship, acute cases, creating a good alliance, not having a hidden agenda and involving the parents. Conclusion: The study shows the challenges in contact with children and adolescents and their parents in psychiatric outpatient care. Many nurses highlighted the obstacles and ethical dilemmas in the contact with children, adolescents and their parents in psychiatric outpatient care.