Too many cooks spoil the soup. We leave highly specialized issues to the specialists. For patient safety, our office requires that all patients requiring psychiatric medication management (except for simple ADD) will need the assistance of an appropriately trained psychiatrist or neurologist for all psychiatric medication adjustments, prescriptions, blood testing and action plans. All depression, psychoses, anxiety, drug overdose or suicide attempt cases are referred to specialists or hospitals as appropriate and require a management plan from those specialists thereafter. We will provide necessary referrals but cannot assume primary responsibility for these highly specialized matters for which our general pediatric clinic is notequipped.