Parents of children with language disorders frequently face feelings of ambivalence when having to make decisions about their child’s care. Ambivalence can be characterized as conflicting feelings about decisions related to their child’s care and education. Our study examines how ambivalence manifests in conversations between a speech language pathologist (SLP) and a mother of a kindergartener currently receiving speech and language services. Counseling conversations, informed by motivational interviewing principles, between the SLP and mother were recorded and collected for more than a year. Transcriptions of these conversations were completed, and initial analysis is presented. The results of our study provide insight for SLPs collaborating with caregivers navigating ambivalence in clinical decisions.