Pediatricians are the primary physicians for the majority of children in the United States (US) with psychiatric problems. This is occurring in a time of increasing incidence of multiple psychiatric disorders of childhood. There is a cohort effect for childhood onset
depression and bipolar disorder and likely a cohort effect for ADHD and substance abuse disorders, as well. Thus, every birth cohort since the middle of the past century has had an increase incidence and an earlier onset of these disorders.
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