Elena, if I remember everything correctly, you are a teacher by profession. Surely you are familiar with this: from a few words from a student, it becomes clear whether he prepared for the subject today - or not.
So for me, as a person who at one time participated in a program for the social rehabilitation of preschool children with hyperactivity syndrome, delayed speech development and general mental retardation, it is clear that doctors who refer a child with these diagnoses for a psychiatric examination, to put it mildly, simply want to shift take responsibility. To put it bluntly, they are just laymen.
Suspicion of a diagnosis of “psychosis,” which can only be given to an adult, since it is a disorder of an already FORMED psyche, more than tells me about the competence of the specialists who conducted the examination.

As for the competence of the center’s specialists, I am simply familiar with the current state of child psychiatry in Russia. Psychiatrists, if they received a child on a referral from neurologists (namely, neurologists - that is, in their purest form, doctors who have no idea about psychology - see at a psychoneurological dispensary), would rather change the diagnosis to a more suitable one - rather than refuse to accept the child. These are the costs of operating the medical system as a whole. Since they will bear varying degrees of responsibility for refusing treatment as directed - and for changing the diagnosis. Roughly speaking, in the first case you will have to fill out more different pieces of paper

And now imagine the situation in pictures: there have been cases when a child received sensorimotor allia from a neurologist simply because he was embarrassed at a doctor’s appointment. And should he definitely be referred to a psychiatrist after that? Who, in ninety cases out of a hundred, nods his head in response to the neurologist - and will readily inject the child with all sorts of rubbish to the point of “don’t play around”?

Now, regarding the differences between a psychotherapist and a psychiatrist. These are, of course, completely different specialists. And I know about this not because I “found” this information somewhere on the Internet, but because understanding the differences between a psychologist, psychotherapist and psychiatrist is my profession

A psychiatrist is a doctor. This is a person who treats ONLY with medication; and which, as a rule, deals only with mental disorders caused by morphological characteristics.
A psychotherapist is a person who has, first of all, psychological training and specializes in cases that do not have morphological disorders of the central nervous system. He also has general knowledge of psychiatry - but not in order to apply it in practice - but in order to be able to correctly make a diagnosis: or exclude gross mental disorders and consider the case with which he was approached to be a case, not beyond the scope of psychotherapeutic competence - or redirect the patient to a psychiatrist if there is a psychiatric diagnosis. But he himself is NOT a psychiatrist. He can also carry out drug therapy, but only as an auxiliary and not the main treatment.
In a word, a psychotherapist is a combined specialist, but he is primarily a psychologist, not a psychiatrist.
In practice, they - a psychotherapist and a psychiatrist - solve completely different problems.

In general, Elena, I’m writing all this not so much for the commentators, but for my mother, the author of the blog. If she finds it necessary to contact me in personal correspondence and ask questions, including regarding my competence, I will certainly answer. But of course, I won’t waste time explaining basic things to everyone who is interested, doubtful and curious - if this interest does not go beyond the bounds of idleness. I composed this comment, rather, also for Olesya.

It’s very funny and strange to correspond on professional topics with a person who found something online on a subject of interest, and for the first time was puzzled by the differences between a psychotherapist and a psychiatrist.