Embarking on a study in which we hope to gain a contextualized understanding of the experiences of adolescent girls who use crystal methamphetamines, it is crucial for us to select a research methodology congruent with our aims. In the current article, we share the theoretical basis and decision making process that has lead us to a multi-modal method integrating images along with dialogue in the interviews. We provide a rationale for our belief that the knowledge and meanings that emerge throughout this process are co-constructed by researchers and participants together. We believe it is helpful for researchers to consider the social responsibility and ethical implications that come with research before data collection begins. Thus, an explicit discussion of the very real impact and potential of qualitative research is introduced here as connections between qualitative research methods with Child and Youth Care practice are highlighted. Our intention is not to present findings as this is an in-progress study, but to open the floor to further questioning and dialogue along a similar vein. Our hope is that such dialogue can render qualitative research that is more relevant to the very complex lives to which we aim to contribute in our studies and practice.