Child & Adolescent Psychiatry Childhood and adolescence are periods of rapid and remarkable brain development. During these years, the brain has a high level of neuroplasticity – its ability to grow, reorganise, and heal. This developmental window continues until roughly the age of 25 to 30, making early support especially important as young people navigate emotional, social, and psychological challenges.

As children and adolescents grow, they encounter major transitions that shape their identity and wellbeing, including transitions across school stages, puberty, and increasing pressure and expectations from parents, society, and their own selves.

What is a child and adolescent psychiatrist?

A psychiatrist is a medical doctor who has completed additional specialist training in mental health disorders while keeping the physical body in mind. A child and adolescent psychiatrist goes even further, focusing exclusively on the emotional, attachment, behavioural, developmental, and mental health needs of children, teenagers, and their families.

Their expertise lies in understanding how a young person’s mind and body develop, how their environment shapes them, and how these factors interact to influence wellbeing.

Child and adolescent psychiatry care at Eora Clinic

At Eora Clinic, our approach to child and adolescent psychiatry is compassionate, family and patient-focused, and grounded in evidence-based medicine. We believe in a whole-child approach to care. This follows the biopsychosocial model, understanding that children and adolescents experience mental health challenges differently from adults because their brains are still developing. This model recognises that mental health is shaped by the interaction of biological, psychological, and social factors.


Common child and adolescent psychiatric concerns we work with.

Mental Illness in Children and Adolescents

Mental health difficulties in children and adolescents are far more common than many people realise, yet they often go unrecognised or untreated. Early support can make a profound difference.

Good mental health influences a child’s relationships, self‑esteem, social confidence, academic engagement, and their ability to cope with stress and change.

Types of Mental Health Conditions

Children and teenagers may experience a variety of mental health disorders, including:

  • Depression
  • Anxiety disorders
  • Obsessive–compulsive disorder (OCD) and related conditions
  • Psychotic disorders, such as schizophrenia
  • Mood disorders, including bipolar disorder

These conditions can vary in severity and may present differently in young people compared to adults. Some children show clear emotional distress, while others may struggle quietly or express their difficulties through behaviour, withdrawal, or changes in school performance.

The Eora Clinic approach to treatment of mental health conditions

At Eora Clinic, we take a trauma‑informed, non‑judgmental approach to mental health disorders, including self‑harm and suicidal ideation/behaviours. Instead of focusing solely on the behaviour, we explore the underlying reasons your child or adolescent may be struggling.

Our whole-child biopsychosocial approach to treatment may involve:

  • Therapy (CBT, ACT, psychodynamic attachment based therapies, trauma‑focused therapy, family therapy, etc.)
  • Medication, when appropriate
  • School support to reduce stress and increase predictability
  • Family involvement to strengthen attachment, connection and understanding 
  • Lifestyle supports such as work-life balance, sleep, nutrition, and movement
  • Community and peer support

Our experienced child and adolescent psychiatrist can:

  • Provide a formal diagnosis, helping families understand what their child is experiencing
  • Offer therapeutic guidance and collaborate closely with parents, psychologists, teachers, and schools
  • Prescribe and monitor medications when appropriate, to reduce symptom severity and improve functioning

This team‑based approach ensures that your child receives consistent, coordinated care across home, school, and healthcare settings.

Autism Spectrum Disorder (ASD)

Autism is a neurodivergent developmental condition that affects around 1 in 40 children in Australia. Our understanding of autism has evolved, and it is now recognised not as an illness to be cured, but as a unique neurodevelopmental pathway. 

At Eora Clinic, we embrace a neuroaffirming approach, supporting children and adolescents to understand, value, and celebrate their identity. By strengthening their understanding of how their brain works, we empower them to respond confidently to everyday challenges.

The Eora Clinic approach to ASD treatment

Many children with ASD also experience conditions that need attention during assessment and treatment, including anxiety, school refusal, eating disorders, and others. Autistic children often benefit from support that helps them understand:

  • How their brain processes information
  • What environments help them thrive
  • How to manage educational, sensory, emotional, and social demands
  • How to build self‑advocacy and self‑acceptance

We aim to empower young people with practical tools and a deeper understanding of themselves, so they can respond to challenges with confidence and feel proud of their individuality.

Eora Clinic prioritises strong partnerships with the multidisciplinary team supporting children and adolescents. Communication occurs through various channels with parental and patient consent where necessary, ensuring personalised and effective care. The clinic is dedicated to providing a safe and nurturing environment for young individuals to thrive.

Attention deficit hyperactivity disorder (ADHD)

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental condition that affects how children focus, regulate their emotions, and manage everyday tasks. Many families seek support because ADHD can impact school performance, friendships, and overall wellbeing. With the right assessment and treatment, children can learn skills that strengthen their confidence and help them thrive.

Differences in the prefrontal cortex can make it harder for children to:

  • Focus and sustain attention limiting their ability to apply their intellectual potential
  • Control impulses
  • Regulate of emotions, mood, and anxiety
  • Stay organised and plan ahead
  • Shift between tasks or ideas
  • Regulate motivation and energy levels
  • Develop working memory
  • Develop processing speed

ADHD may often co-occur with other conditions, including anxiety and depression, obsessive compulsive disorder, autism spectrum disorder, learning disorders, and others. Conducting a thorough assessment to understand how these issues relate to ADHD is essential for developing a comprehensive biopsychosocial treatment plan as they can influence how ADHD presents and how well treatments work.

The Eora Clinic approach to ADHD treatment

Effective ADHD care involves more than medication alone. A child and adolescent psychiatrist can provide:

  • Thorough diagnostic assessment, including screening and treating for co‑occurring conditions
  • Medication management, when appropriate, with careful monitoring
  • Therapeutic support to build insight, acceptance, emotional regulation, and coping skills
  • Parent guidance to help families understand and support their child 
  • Collaboration with schools to create supportive learning environments where children can thrive
  • Coordination with psychologists, occupational therapists, and other allied health professionals

The goal is to strengthen your child’s executive functioning while reducing stress on their nervous system. This approach helps them feel more in control, enables them to apply their academic, social, and creative potentials, and better equips them to participate in daily life. Ultimately, this can lead to a thriving life experience while keeping mental health challenges at bay.

Functional Neurological Disorders in Children and Adolescents

Functional neurological disorders (FND) are real, distressing, and often misunderstood conditions in which young people experience neurological symptoms – such as weakness, tremors, seizures, sensory changes, or difficulties with movement – without a structural disease of the brain or nervous system. These symptoms are not imagined or deliberate. They arise from disruptions in how the brain functions and communicates with the body, rather than from physical damage.

Children and adolescents may experience symptoms causing severe psychosocial impairments:

  • Episodes that resemble seizures (non‑epileptic seizures)
  • Sudden weakness or difficulty walking
  • Tremors or abnormal movements
  • Loss of sensation or changes in vision
  • Speech difficulties
  • Fatigue, pain, or cognitive fog 

These symptoms can be frightening for families and disruptive to school, friendships, and daily life. A trauma‑informed approach recognises that the child is not “acting out” or “seeking attention” – they are experiencing a genuine neurological disruption that requires understanding and support.

The Eora Clinic approach to FND treatment

The good news is that children and adolescents have excellent potential for recovery, especially when treatment is collaborative and holistic. Effective care often includes:

  • Understanding that symptoms are real, reversible, and treatable is often the first step toward improvement
  • Psychological therapies such as mind-body exercises, cognitive-behavioral therapy, relaxation strategies, and lifestyle adjustments can help maintain a healthy work-life balance while managing cognitive load without exceeding your child’s capacity
  • Specialised FND‑informed physiotherapy to help retrain movement patterns and rebuild confidence in the body
  • Involvement with parents and caregivers, who play a crucial role in creating predictable routines, reducing stress, and supporting recovery
  • Support from a child psychiatrist who can help address co-occurring challenges with medication where appropriate, and by collaborating with other healthcare professionals
Eating Disorders

At Eora Clinic, we provide comprehensive assessment and treatment for a range of eating disorders, including anorexia nervosa, bulimia nervosa, avoidant/restrictive food intake disorder (ARFID), and binge eating disorder. Eating disorders are serious medical and psychiatric conditions, and early, coordinated intervention is essential for recovery.

We work in close partnership with child and adolescent psychiatrists, paediatricians, psychologists, and dietitians to ensure whole‑body health, medical stability, and emotional safety throughout treatment.

Anorexia Nervosa

Anorexia nervosa (AN) is often misunderstood as a disorder about weight or appearance, but for many children and adolescents, it is far more complex. At its core, AN is a survival response, a way the brain tries to cope when a young person feels overwhelmed, unsafe, or out of control. It is a sign of profound distress in a developing nervous system doing its best to adapt.

Many children who develop AN have lived in environments that feel relentlessly demanding. They may be navigating academic pressures, stress in the home, identity struggles, or neurodevelopmental differences that make daily life more effortful. Eating, digestion, hunger cues, and body awareness can become disrupted. Restricting food may emerge as a way to feel something predictable in a world that feels chaotic.

Avoidant/Restrictive Food Intake Disorder

ARFID is often misunderstood, yet for many children – especially those with neurodevelopmental differences – eating can be one of the most overwhelming parts of daily life. ARFID is not about body image or dieting. It is about fear, discomfort, sensory overload, and a nervous system that feels unsafe around food.

When adults respond with warmth, patience, and curiosity, children begin to feel safe enough to explore new foods at their own pace.

The Eora Clinic approach to treatment of eating disorders

Eating disorders do not occur in isolation. At Eora Clinic, we explore the predisposing, precipitating, and perpetuating factors that contribute to the development and maintenance of an eating disorder. This approach helps families understand the “why” behind the illness and supports recovery in a non‑blaming, compassionate, and collaborative way.

We are dedicated to providing evidence‑based, compassionate, and developmentally informed care for children and adolescents with eating disorders. Our goal is to support young people and their families through every stage of recovery – restoring physical health, rebuilding emotional resilience, and strengthening the foundations for long‑term wellbeing.

Tourette syndrome and tic disorders

Tourette syndrome and other tic disorders involve involuntary motor and vocal tics that typically begin in childhood. While tics themselves are neurological, many young people also experience co‑occurring conditions such as ADHD, anxiety, OCD, emotional dysregulation, and sleep difficulties. These additional challenges often have a greater impact on daily life than the tics alone.

A child psychiatrist helps families understand how these pieces fit together so the child receives holistic, developmentally informed care. A comprehensive assessment may include:

  • Clarifying the type of tic disorder (e.g., provisional tics, chronic tics, Tourette syndrome)
  • Identifying triggers such as stress, fatigue, sensory overload, or anxiety
  • Assessing co‑occurring conditions like ADHD, OCD, anxiety, depression, or behavioural challenges
  • Exploring the impact of tics on school, friendships, self‑esteem, and family life

This whole‑child approach helps guide treatment decisions and ensures that support is tailored to your child’s developmental stage.

The Eora Clinic approach to management of Tourette syndrome and tic disorders

Tourette Syndrome and tic disorders can feel confusing, unpredictable, and sometimes overwhelming for young people and their families. Tics may come and go, change over time, or appear suddenly during moments of stress, excitement, or fatigue. Many children worry about standing out or being misunderstood, and parents often wonder how best to support their child.

At Eora Clinic, we work with families and schools to help everyone in your child’s life understand the nature of tics and how best to support your child’s self-esteem and development, tailoring their environment to avoid exacerbating factors at home and in the classroom. This can involve:

  • Providing psychological, lifestyle, and medication strategies to reduce anxiety and stress
  • Supporting emotional regulation and coping skills
  • Addressing attention, impulsivity, and executive functioning difficulties
  • Providing recommendations for the school to offer academic support aligned with your child’s abilities, to reduce the risk of burnt out and worsening of tics
  • Making recommendations for the classroom environment to help reduce social stress and sensory overstimulation
  • Helping teachers understand tics and avoid punitive responses
  • Helping families to reduce pressure, criticism, or attempts to force tic suppression

As tic disorders often change across childhood and adolescence, our psychiatrist also provides ongoing support through life transitions for both your child and yourself as the caregiver.

Intellectual disability in children

Children with an intellectual disability learn and develop at a slower pace than other children. A diagnosis of an intellectual disability in your child can be devastating, but getting support early on gives them the best chance of developing the right skills to help them through life. 

Some children show signs of an intellectual disability before their fifth birthday, often with significant delays in reaching age-normal developmental milestones. For other children, the academic and social demands of starting school can make the intellectual disability more apparent where it may have been missed before.

The Eora Clinic approach to management of intellectual disability in children

Supporting you and your child effectively takes a multidisciplinary team of psychiatrists, pediatricians, psychologists, occupational therapists, and social workers. Our qualified child psychiatrist with experience in managing intellectual disability can:

  • Help you to organise extra support for your child and family both at home and at school e.g. NDIS support
  • Manage co-existing mental health conditions such as ADHD, anxiety, and depression, which are more common in children with an intellectual disability
  • Collaborate with allied health clinicians and other medical specialists to ensure transparent, holistic care that promotes the wellbeing and safety of your child

Every child deserves to be seen for their strengths, their potential, and the many ways they contribute to the world. Intellectual disability is not a barrier to a fulfilling life.

Learning disorders

Learning disorders affect an estimated 4% of Australian children. It’s a broad classification for a wide range of learning difficulties including challenges with reading, reading comprehension, spelling, and mathematical reasoning.

Learning disorders in highly intelligent children are often overshadowed by their intelligence. However, if these disorders are not addressed early, they can lead to significant challenges in self-worth and self-confidence. If they co-exist with conditions like ADHD and ASD, the risk of burnout, school refusal, and mental health complications such as anxiety, depression, self-harm, and suicidal tendencies is high.

Despite a learning disorder diagnosis, with early intervention and the right type of help, your child can still be successful in school and their future vocation.

The Eora Clinic approach to management of learning disorders in children

While the most effective management strategies to help your child with a learning disorder are targeted interventions for the specific area of difficulty, a child and adolescent psychiatrist can provide support through diagnosing and providing management of co-existing conditions such as:

  • Attention deficient hyperactivity disorder (ADHD)
  • Anxiety
  • Depression
  • Tic disorders
  • Autism spectrum disorders

Children with learning disorders may learn differently, process information in unique ways, or need more time and support to master certain skills – but with the right intervention, these differences do not need to limit their potential.

Attachment disorders

Attachment disorders in children can have far-reaching consequences, including difficulties with emotional expression, resilience, healthy relationships, and general behaviour. Children with attachment disorders may come from a traumatic past, have a history of not having a stable primary caregiver when they were younger, or have a neurodevelopmental limitation such as ADHD and ASD that could make attachment formation challenging.

At Eora Clinic, we recognise that secure attachment is one of the most powerful foundations for a child’s emotional, social, and relational development. Our approach is grounded in the principles of the Circle of Security, a well‑established attachment framework that helps parents understand and respond to their child’s needs with confidence and compassion.

The Eora approach to treatment of attachment disorders 

At Eora Clinic, we believe that parental wellbeing is central to a child’s wellbeing. We work with parents and caregivers through a lens of compassion and non‑judgment, offering guidance that is respectful and collaborative. The goal is to empower parents, not blame them – and to help every family move toward greater connection, confidence, and emotional safety.

Children and adolescents flourish when they know their caregiver can:

  • Welcome and make space for their emotional needs
  • Support their curiosity and exploration
  • Provide comfort, protection, and reassurance
  • Stay calm and steady during moments of distress
  • Offer guidance and boundaries without harshness

We encourage parents to be attuned and responsive most of the time, while also stepping in with gentle leadership when a child needs help organising their feelings or staying safe.

Complex Developmental Trauma in Children and Adolescents

Complex developmental trauma refers to the chronic, repeated, and often interpersonal experiences of threat, harm, or emotional neglect that occur during a child’s most formative years. Unlike a single traumatic event, complex trauma unfolds over time and within relationships that are meant to provide safety, protection, and stability. 

Children are remarkably resilient, but they are also deeply dependent on the adults around them. When their early environments are unpredictable, frightening, or emotionally unavailable, their developing brains and nervous systems adapt in ways that help them survive in the moment – but may create challenges later in life.

Repeated exposure to stress can influence:

  • Mental health
  • Attachment and relationships
  • Perception of self and self-worth
  • Cognition and learning
  • Personality development

The Eora Clinic approach to treatment of trauma in children and adolescents

Complex developmental trauma can have profound effects, but with the right support, children can heal, build secure relationships, and develop a strong sense of self. Recovery is not about erasing the past – it is about helping young people feel safe, understood, and empowered to move forward. 

At Eora Clinic, our treatment approach honours your child’s resilience and recognises that their responses are adaptive, not pathological. It also emphasises safety, consistency, empathy and non-judgement, collaboration, and a focus on helping children regain a sense of control and agency.

Children and adolescents with complex developmental trauma often benefit from a combination of:

  • Trauma‑focused psychological therapies
  • Psychiatric care, including management of co-occurring conditions such as anxiety, ASD, ADHD, and prescribing medications where appropriate
  • Support for parents and carers to understand trauma responses, strengthen attachment, and create safe, predictable environments
  • Collaboration with teachers to understand your child’s needs and triggers

Find an experienced child and adolescent psychiatrist in Hurstville, NSW

Dr Lakmali Edirimanne MBBS, FRANZCP, Adv Child Adol Psych, is a dedicated child and adolescent psychiatrist with years of experience in helping young people and their families navigate complex mental health challenges. She is deeply passionate about comprehensive, holistic care and equipping her patients with the skills needed to lead a fulfilling life. 

Meet Dr Edirimanne

What We Offer

Child & Adolescent Psychiatry

Paediatrics

Adult Psychiatry

Begin Your Care Journey

Request an appointment with our team today

REQUEST AN APPOINTMENT