Child Psychotherapy, clinical psychology and psychiatry are well established disciplines used to address children's severe mental health and personality problems.

The psychotherapist, clinical psychologist or psychiatrist normally forms a long-term therapeutic relationship with the client. Talking therapies are primarily used with play often taking a relatively small, supporting role in the interventions.  Psychiatrists often prescribe medication.

Child Psychotherapists, Clinical Psychologists and Psychiatrists may acquire therapeutic play skills to support their other interventions or may supported by a Play Therapist in a multi specialist team role.

There are often long waiting lists for consultations by these specialists.  In some cases Play Therapists may be able to provide a 'holding' role.