During the last decade the number of teenagers involved in violent behavior and drug abuse increased significantly. Some of these adolescents were involved in Satanic cult activities. Although sensationalism is created by isolated incidents like the Matamoros murders and Geraldo's media coverage of satanism, our observation, in a private psychiatric hospital, reveals that in fact adolescents involved in satanic cults do not differ from other adolescents admitted with a variety of other problems. Psychodynamic factors, family dynamics, and treatment strategies for management of adolescents who are involved in satanic cult activities are discussed.