At the end of her 15-minute visit, Mrs. Jeffries ask you, “What can I do about Suzy? She has no friends and spends all her time alone in her room when she comes home from school.”

James’ father suddenly breaks into tears. “I’m worried because I had to go to a special school, and now Jimmy Jr. can’t read and they want to keep him back in second grade.”

There’s no escaping it: Families will bring their behavior and development concerns to you whether you are looking for them or not.

Psychosocial problems are increasingly identified in pediatric practice (

Kelleher KJ, McInerny TK, et al.
). Many pediatricians seek out continuing medical education to learn to deal with these problems, and residency training has put an increased emphasis on behavior and development.

At the same time, pediatricians are pressed to become...

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