Abstract
In Reply .—The comments by Levenson and Becker are appreciated. However, these comments are precisely the reason we do recommend that pediatricians become more aware of behavior problems. In the past it was mandatory that every pediatrician have some formal training in child psychiatry, but this is no longer routine. I do feel that in the area of attention-deficit disorders, the pediatrician should, indeed, be the first one to review the situation and refer the patient only if this is requested by the parents or if the physician cannot adequately take care of such patients. The fact that 6% of schoolchildren in Baltimore, Md, are being treated with methylphenidate is precisely one of the reasons why there has to be some sanity in dealing with patients who have an attention-deficit disorder. The situation in patients with enuresis is even more critical. As far as I am concerned, every pediatrician has to be
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