Hurst has child and adolescent psychiatry physicians available for consultation. They can be found through local medical and psychiatric societies, local mental health associations, local hospitals or medical centers, or via pediatricians, family physicians, and school counselors. These are physicians in Hurst who specialize in the diagnosis and the treatment of disorders of thinking, feeling and/or behavior affecting children, adolescents, and their families, according to the American Academy of Child and Adolescent Psychiatry. Training for this practice is grueling, involving 4 years of medical school, at least 3 years of approved residency training in medicine, neurology, and general psychiatry with adults, and 2 years of additional specialized training in psychiatric work with children, adolescents, and their families in an accredited residency in child and adolescent psychiatry. They usually perform a comprehensive diagnostic examination first, after which a treatment plan is designed, in consultation with the child's family. He or she is expected to act in the best interests of the child or the teenager. An integrated approach may be followed by involving the individual, the family, and the school system.