Children are still seen but not heard

doi:10.1136/bmj.325.7364.599/a

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Sean P Maskey, consultant child and adolescent psychiatrist (maskes@gosh.nhs.uk)

Great Ormond Street Hospital, London WC1N 3JH

EDITOR—Kroenke and Gask and Underwood describe in some detail the multiplicity of psychological presentations in patients. 1 2 No mention is made, however, of the many children seen in general practice and by paediatricians who have primarily mental health problems, psychological factors associated with their physical illness (such as diabetes management), or medically unexplained symptoms (such as …