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Psychiatric Evaluation & Medication Management

Recognizing that a child/adolescent has a problem with emotions or behavior can be difficult and painful.  Working with our child/adolescent psychiatrist offers families the opportunity for a diagnostic examination in order to evaluate the current needs.  Drawing upon years of training and experience, EPIC’s psychiatrist will determine the factors that play a role in the young person’s difficulties.  They will then suggest things that can be helpful including ideas about how to approach issues differently, talk or play therapy, extra help at school, further evaluations, close attention to diet and sometimes, prescription medication or over-the-counter treatments.

EPIC’s child/adolescent psychiatric services are provided by Dr. Renato Romero.  Dr. Romero is certified in the state of Florida in Psychiatry and has extensive experience working with children and adolescents. 

Following are a few signs which may indicate that a child and adolescent psychiatric evaluation will be useful.*


  • Marked fall in school performance
  • Poor grades in school despite trying very hard
  • Severe worry or anxiety, as shown by regular refusal to go to school, go to sleep or take part in activities that are normal for the child's age
  • Frequent physical complaints
  • Hyperactivity; fidgeting; constant movement beyond regular playing with or without difficulty paying attention
  • Concerns about ADHD
  • Persistent nightmares
  • Persistent disobedience or aggression (longer than 6 months) and provocative opposition to authority figures
  • Frequent, unexplainable temper tantrums
  • Threatens to harm or kill oneself


  • Marked decline in school performance
  • Inability to cope with problems and daily activities
  • Marked changes in sleeping and/or eating habits
  • Extreme difficulties in concentrating that get in the way at school or at home
  • Sexual acting out
  • Depression shown by sustained, prolonged negative mood and attitude, often accompanied by poor appetite, difficulty sleeping or thoughts of death
  • Severe mood swings
  • Strong worries or anxieties that get in the way of daily life, such as at school or socializing
  • Repeated use of alcohol and/or drugs
  • Intense fear of becoming obese with no relationship to actual body weight, excessive dieting, throwing up or using laxatives to loose weight
  • Persistent nightmares
  • Threats of self-harm or harm to others
  • Self-injury or self destructive behavior
  • Frequent outbursts of anger, aggression
  • Repeated threats to run away
  • Aggressive or non-aggressive consistent violation of rights of others; opposition to authority, truancy, thefts, or vandalism
  • Strange thoughts, beliefs, feelings, or unusual behaviors

*from the American Academy of Child & Adolescent Psychiatry

EPIC is committed to a person-centered approach that places our clients, including children, at the center of their own care resulting in a positive difference in health outcomes and client satisfaction.

Accommodations are available for persons who are disabled or deaf/hearing-impaired. For assistance, call 904-829-2273, x7016.

EPIC serves St. Johns County including St. Augustine, Hastings, Ponte Vedra, St. Johns, World Golf Village and Palencia.  We also accept clients from surrounding cities/counties including Jacksonville/Duval County, Palm Coast/Flagler County and Palatka/Putnam County.

Psychiatric Evaluation