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Applications of telepsychiatry have been described across development and most diagnostic categories. Children as young as 3 years old have been treated (Elford et al. 2000; Myers et al. 2004). School-age children comprise the modal age group (Broder et al. 2004; Hockey et al. 2004; Nelson et al. 2003; Pesamaa et al. 2004), and attention-deficit/hyperactivity disorder is the most commonly treated disorder, although most diagnostic groups have been treated (Myers et al. 2004, 2007). Developmentally impaired children may not be able to provide their own perspectives, but school records, parents' records, and telepsychiatrist's observations can readily facilitate treatment planning. Children who are uncooperative pose challenges, but they can be treated with assistance at the patient site. The appropriateness of a youth for telepsychiatry should be individualized to developmental considerations, parents' preferences, supports at the patient site, and the telepsychiatrist's resourcefulness.

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