Adolescent evaluation is completed by a board certified psychiatrist who is fellowship trained in child and adolescent psychiatry. Typically, the child referred for a psychiatric evaluation is not asking to be evaluated. Rather, it is the family, or very often the child’s school, that is requesting the evaluation. Some of the common symptoms that drive the request for an evaluation are that the child is disruptive in school, oppositional at home, withdrawn, aggressive, defiant, fearful, intellectually impaired, or acting-out. The evaluation of the child is developmentally appropriate, and begins with an observation of the child’s behavior in the office and waiting room. Included in the interview is an assessment of the child’s awareness of the social, behavioral or academic difficulties reported by parents and teachers. Throughout the interview, the child’s comfort level, social interaction and the presence or absence of odd behaviors are appraised. It is important to be aware that symptoms may not be present in the structured setting of an office, and occasionally it is useful to observe the child in the classroom and on the playground. Given the issues presented during these interviews and observations, treatment options will be discussed. If applicable, this can include psychotherapy options as well as medication evaluation and management.