21 doctors weighed in:
How much trouble should kid be in before we send to child psychiatry?
21 doctors weighed in

Dr. Samuel Miles
Psychiatry
12 doctors agree
In brief: Do it soon
When in doubt, get a consultation.
You may be reassured, or you may have a chance to intervene early before the child gets into more trouble.

In brief: Do it soon
When in doubt, get a consultation.
You may be reassured, or you may have a chance to intervene early before the child gets into more trouble.
Dr. Samuel Miles
Dr. Samuel Miles
Thank
Dr. Andrew Ho
Psychiatry
3 doctors agree
In brief: Trouble is wrong
Why make this decision based on severity of trouble? Kids suffer just like adults.
They should be treated when they suffer, not when they get into trouble. Talk to them, they can tell you how they feel and what's going on. Find out whether they are enjoying life, school, learning, friends, family. Can tell a lot in a few minutes. Note any changes in sleep, appetite, grades, energy.

In brief: Trouble is wrong
Why make this decision based on severity of trouble? Kids suffer just like adults.
They should be treated when they suffer, not when they get into trouble. Talk to them, they can tell you how they feel and what's going on. Find out whether they are enjoying life, school, learning, friends, family. Can tell a lot in a few minutes. Note any changes in sleep, appetite, grades, energy.
Dr. Andrew Ho
Dr. Andrew Ho
Thank
1 comment
Dr. Aaron Ament
IF A CHILD IS GETTING IN TROUBLE SOMETHING IS WRONG - EITHER A MEDICAL PROBLEM OR STRESS THE CHILD CAN;T HANDLE DIRECTLY. THAT'S WRONG ENOUGH. GET A CHILD THERPIST TO EVALUATE. NOW IS A GOOD TIME.
Dr. Jeffrey Turley
Pediatrics - Psychiatry
2 doctors agree
In brief: Intervene early
It may not be necessary to involve a child and adolescent psychiatrist as a first step.
School counselors and community-based therapists who see children and families typically assess the situation first and recommend interventions. Referral to a child psychiatrist, a physician who specializes in diagnosis and treatment of pediatric mental illness, can be facilitated by those professionals.

In brief: Intervene early
It may not be necessary to involve a child and adolescent psychiatrist as a first step.
School counselors and community-based therapists who see children and families typically assess the situation first and recommend interventions. Referral to a child psychiatrist, a physician who specializes in diagnosis and treatment of pediatric mental illness, can be facilitated by those professionals.
Dr. Jeffrey Turley
Dr. Jeffrey Turley
Thank
2 doctors agree
In brief: Example below
Child psychiatrist evaluation useful for Young Children & adolescents: poor grades despite trying hard, severe anxiety w/refusal to go to school, go to sleep, or take part in age normal activities.
Constant disobedience, hyperactivity, concentration/attention behavior. Temper tantrums, threats to harm self or others. Changes sleep/eating, sexual acting out, depression/mood swings, use etoh/drugs

In brief: Example below
Child psychiatrist evaluation useful for Young Children & adolescents: poor grades despite trying hard, severe anxiety w/refusal to go to school, go to sleep, or take part in age normal activities.
Constant disobedience, hyperactivity, concentration/attention behavior. Temper tantrums, threats to harm self or others. Changes sleep/eating, sexual acting out, depression/mood swings, use etoh/drugs
Dr. Humberto Quintana
Dr. Humberto Quintana
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1 comment
Dr. Aaron Ament
TROUBLE IS A FLAG. MAYBE A RED FLAG. CHILD PSYCHIATRIST EVAL MAKES SENSE BEFORE TROUBLE INTENSIFIES.
Dr. Alan Ali
Psychiatry
2 doctors agree
In brief: Troubled kid
When behavior starts to affect other functions outside home, such as school, social milieu, friends, as well as other family members.

In brief: Troubled kid
When behavior starts to affect other functions outside home, such as school, social milieu, friends, as well as other family members.
Dr. Alan Ali
Dr. Alan Ali
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Dr. Kevin Windisch
Pediatrics
2 doctors agree
In brief: Now
If you are asking this question on this board, then your child needs to get professional help.

In brief: Now
If you are asking this question on this board, then your child needs to get professional help.
Dr. Kevin Windisch
Dr. Kevin Windisch
Thank
2 doctors agree
In brief: Depends
Is the emotional/behavioral problem a threat to their or others safety? Is there disruption to day to day functioning or reality? Is there a change without a significant/obvious/recognized precipitant? Any chronic medical problems? Any history of abuse, neglect from others? It may be worthwhile to consult sooner than later.

In brief: Depends
Is the emotional/behavioral problem a threat to their or others safety? Is there disruption to day to day functioning or reality? Is there a change without a significant/obvious/recognized precipitant? Any chronic medical problems? Any history of abuse, neglect from others? It may be worthwhile to consult sooner than later.
Dr. Michael H. T. Sia
Dr. Michael H. T. Sia
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Dr. Aaron Ament
Psychiatry
1 doctor agrees
In brief: HOW MUCH?
When you ask 'how much' there probably is some, enough to make you concerned.
The kindest thing for you and the child is to consult a child psychiatrist to evaluate what is actually going on. From that point there is everything from watchful waiting to treatment. Usually we ask parents to attend a form of consultation to learn the dynamics of their family and keep the therapist up to date.

In brief: HOW MUCH?
When you ask 'how much' there probably is some, enough to make you concerned.
The kindest thing for you and the child is to consult a child psychiatrist to evaluate what is actually going on. From that point there is everything from watchful waiting to treatment. Usually we ask parents to attend a form of consultation to learn the dynamics of their family and keep the therapist up to date.
Dr. Aaron Ament
Dr. Aaron Ament
Thank
Dr. Susan Uhrich
Psychiatry
1 doctor agrees
In brief: Not to much!!
The idea behind an evaluation is to help before the problems are very serious.

In brief: Not to much!!
The idea behind an evaluation is to help before the problems are very serious.
Dr. Susan Uhrich
Dr. Susan Uhrich
Thank
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