Many children and adolescents have difficulties to understand and/or express themselves during health care situations, most often caused by problems with language and culture, cognitive maturity and different types of disabilities or the medical or psychological conditions hindering communication.  This means that person-centered care, building on the patient’s own story and the communication between the child and the caregiver is challenged. Research and practical experiences show that most often health care professionals tend to turn to the parents expecting them to act as interpreters (Thunberg et al., 2015). Sometimes this is necessary, but the research and practical experience from our work with different types of supportive strategies, mainly based on pictures, show that these can enable the voices of children, sometimes with severe communication problems, to be heard (Thunberg et al., 2015; 2022). During this mainly practically oriented workshop we will show videoclips and examples from research and practice in Sweden and South Africa, and then enable participants to design a pictorial support of their own using their phone and the free web tool www.bildstod.se.