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Diagnosing psychiatric disorders in children can be very difficult. This is because many of the psychiatric disorders have similar signs and symptoms. Because there is no actual test that can be done to prove without a reasonable doubt that a child has some form of mental disorder there is always room for error in diagnosis. In fact, “There are children who need treatment who are not getting it and children who do not need treatment who are." (Parents, Johnston, n.d.) Children who are misdiagnosed with a mental illness often face adverse effects. With the diagnosis of a mental health illness usually comes the administration of some form of medications. Taking any form of medication often comes with side effects which can be dangerous for a child who does not need to take them. In addition, that child also must live with the stigmas associated with having a mental illness. This can affect how a child perceives themselves. "This can lead them to feel shame, low self-esteem, and inability to accomplish their goals."