A November 8, 2023 article in The Wall Street Journal ("Children in Mental-Health Crisis Surge Into Hospital E.R.s") aroused several thoughts on why the crisis in child mental health treatment exists: the lack of public and doctor knowledge of child psychological development; psychiatry's false biological/genetic bias rather than the critical role played by parent-child interaction during early life when the basic ego capacities governing control of thinking and behavior, modulation of mood, and others develop; and the emphasis on psychotropic drugs with exaggerated benefits and downplayed side-effects. All leading to inaccurate and potentially harmful Emergency Room decisions and excess hospitalizations.