I regularly hear from non-psychiatrists, especially from pediatricians and primary care providers, how unaligned their training was to the types of problems their patients present with. A major mismatch is in mental health. A large percentage of youth presenting for general medical treatment or preventive care have mental health issues. These emotional or behavioral disorders may be brought in as presenting complaints, volunteered as additional problems, or kept private until explicitly assessed. But in all cases, they are likely to