TABLE 2.

Description of using visual images to support interviews.

Step 1	At the introduction to the interview, the child/youth was informed that the interviewer may show pictures about BIMS if it seems like it might be helpful to bring out ideas
Step 2	If during the interview, the interviewer detected challenges in getting verbal descriptions (e.g., participant answered with single-word answers, or gestures, or a response of “I don’t know”), the interviewer would share screen and show a Google images search of key words pertaining to the idea explored in the moment (child or teen plus: tantrum, yelling, feeling stuck, tired, and exhausted)
Step 3	Once the images were displayed, the interviewer would then ask: do any of these pictures show how this feels or what this is like? If the child says “no,” the interviewer conducts another image search
Step 4	When the child/youth selects an image that is deemed a good representation, the interviewer asks probing questions like – what do you think she is feeling? What do you think she is thinking? What might have happened just before? What might happen next?