Many parents seek the help of professionals throughout their child’s development. From birth to age three, parents that seek out help are often concerned about physical or mental development. This can be a crucial time for early intervention for children deemed at risk (i.e., premature babies, Down’s syndrome, Pervasive Developmental Disorder, etc.). The child’s primary care physician is usually the first professional to evaluate the child. While their expertise is centered on physical health, they can refer a child to a specialist when they have concerns. Children aged three to six are also referred for similar concerns, but it is often prompted from the child’s preschool or the parents observe differences in development or behavior that spark concern. It is critical that concerns with particular syndromes or physical development be first addressed through the pediatrician.
While these types of concerns account for a small percentage of the population, the majority of concerns that prompt professional consultation occur for behavior (not physiological in origin). This most often occurs when their child’s behavior has become so concerning or pervasive that it is difficult to overlook and parents suspect this may not be something they “outgrow”. Parents often don’t know where to start the search for support and at first may start with their child’s pediatrician or with their insurance. While this is a good place to start for some, it can often take weeks to book an appointment and the resulting appointment is quite brief with an occasional referral to a psychiatrist or counselor. Insurance often covers limited sessions as a family and can be as little as once a month. When the concerns are behavioral, it is nearly impossible to address and change behavior with contact once or twice month. Most parents search for professionals that have training with children and behavior and are actively looking for a “child behavior psychologist” or “child psychologist”. Unfortunately, there are very few individuals that call themselves “child psychologists”, but instead may be a therapist, psychologist or social worker with extensive training in child development. While level of training is
a good initial indicator, it is not nearly as important as that individual’s area of expertise, overall philosophy and methodologies. A few of the more common specialists that parents may seek include:
- Marriage and Family Therapists (MFTs) – MFT’s are trained mental health professionals that bring a family-oriented perspective to health care. Treatment is usually focused on not just the child, but family patterns, relationships and stages of development. There is great variability in an MFT’s area of expertise (i.e., drug/alcohol abuse, depression, divorce, child development, etc.). Training involves a Master’s Degree or Doctorate with approximately 60 hours of additional coursework and 3000 hours of supervised work experience.
- Psychiatrist – Psychiatrists are physicians that specialize in diagnosis and treatment of mental, addictive and emotional disorders. They prescribe medications, practice psychotherapy and often consult with primary care physicians, social workers or psychologists. Training involves an M.D. or D.O. degree and four years of residency, with at least three of those years in psychiatry.
- Licensed Educational Psychologist – A Licensed Educational Psychologist holds a Masters or Doctorate degree along with a Pupil Personnel Services (PPS) credential that allows them to work within a school setting. They require an additional three years of full time service documented within a school setting and are required to pass the LEP exam. Their specialties center on educational assessment, behavior assessment, consultation and counseling to promote effective learning (behavioral or academic).
- School Psychologist – A School Psychologist either holds a Masters of Science or a Doctorate Degree along with a Pupil Personnel Services (PPS) credential that allows them to work within a school setting. Their specialties center on the school setting along with identification of learning disabilities, processing deficits and behavioral issues that effect learning. Training involves a MS Degree or Doctorate with approximately 80 hours of training. Most have extensive training in educational assessment.
- Clinical Psychologist- Most individuals have a doctorate degree although occasionally there are individuals with master’s degrees. Most have had a Bachelor’s Degree in Psychology prior to entering a program. These individuals work with diagnosis, treatment and prevention of mental disorders. This field is the largest specialty for those that are deemed “psychologists”.
- Social Worker-These individuals assist people cope with issues, relationships and personal/family problems. Training can be in the areas of family/children, research, addiction, unemployment, abuse, etc. A Bachelor’s degree is the minimum requirement although many carry a Master’s Degree as well. To obtain licensure, they must have 3000 hours (2 years) of supervised clinical experience and then have a LCSW (Licensed Clinical Social Worker).
- Industrial-organizational Psychologist – These individuals typically work within the business setting and apply psychological principles and research methods to the workplace in efforts to promote quality of work life. Individuals can practice with a Master’s of Arts and occasionally some have a Bachelor’s Degree.
- Ph.D. versus Psy.D. – The Doctor of Philosophy in Psychology (Ph.D.) emphasizes the role of research and science. The Doctor of Psychology (Psy.D.) degree focuses on clinical and practitioner work and usually takes one year less time to complete.
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