The purpose of this study is to investigate the application of Adlerian psychology combined with reality therapy for hidden adolescents in Macao. On this basis, this paper proposes that the relationship between “hiding up” is formed through the influence of the individual, family, and environment. The three core themes of Adlerian psychology are used to explore the hidden phenomenon of adolescents, namely, inferiority and transcendence, purposefulness, and social interest. On the individual side, it is suggested that awareness of inferiority and responsibility can help individuals transcend inferiority and escape from concealment. The family perspective is purposive, which helps parents to recognize their own purpose and needs as well as those of their children, and to rebuild the parent-child relationship through changes in disciplinary techniques. The environment emphasizes the importance of cultivating social interests in order to motivate young people to participate in social activities and discover their own strengths to connect with society. Therefore, the combination of Adlerian psychology and reality therapy is an intervention that can effectively help youth to leave their seclusion and return to society.