I am an LCSW-C , and I have been working in children's mental health as a therapist for SED youth in a school. Diagnosis helps them access my program, yet I only have 2 weeks to diagnose. So what happens oftentimes, and this is across the board in my profession, is we have to make our best initial assessment , and then update it later. I lack the screeners and other tools that can be found in clinics, which makes it even more tricky for me. I always have such mixed feelings about this because of how stigmatized some disorders are, and many of the parents I work with have a huge fear of those labels. One thing that I always tell families is that this label can change. A child presenting with a severe anxiety disorder now, can be reevaluated in time, and those symptoms might have been explained by other things (like divorce, or autism, for example) or disappeared entirely through treatment or developmental changes. Anyway, its a very complex thing, diagnosis! It can be an ongoing process, even for adults. Thanks for your article, I enjoyed reading it.