You know, I wish I could believe that children were safer in the hands of “specialists” in child psychiatry, and less vulnerable to a really harmful mis-diagnosis. But I really think it’s exactly the opposite. When it comes to a dangerously flawed concept like Childhood Bipolar Disorder, lack of confidence is the beginning of wisdom! It is precisely the “confidence” of the specialists that makes them dangerous. They feel comfortable prescribing drugs two or three at a time, drugs that aren’t approved for children, drugs with black-box warning, etc. etc. Things your GP wouldn’t dare do, because he or she is not enough of a specialist. As for “mistakes” vs. “correct diagnoses” — it all depends on who’s doing the counting! It’s fairly easy for a child psychiatrist to label a GP’s decision (however sensible) as wrong. And hard as hell for a GP to label a child psychiatrist’s decision (however bizarre) as wrong. That’s just how the medical hierarchy works. The specialist is right BECAUSE he is a specialist, hallelujah, amen. The same problem comes up in managing “chronic non-cancer pain” (from injuries, arthritis, etc.) Too many people think the whole problem of reckless over-prescribing of opioid pain pills comes from letting mere GPs handle it — and the solution is to turn all such decisions over to Board-Certified Pain Management Specialists. In reality, most of the time, it’s when you meet the Board Certified Specialist that your troubles REALLY begin … because those bastards are Confident. Oh boy, are they confident!