The pediatrician talked to the therapist and they decided that therapist can make this referral. Why does it matter? I will ask therapist what this means when we go there next week. So, therapist will sign the forms today. The forms will be given to the insurance people and someone will call me to set up the appointment if insurance is approved. Why does this have to be so complicated? Do I understand correctly that therapist would continue with his visits and psychiatrist will cover other areas - maybe explore possibility of some more diagnoses? difficult child is doing awesome but when his anxiety hits hard and strong like this last two weeks, I sometimes wonder if it is more than anxiety. I know some of you have mentioned possible Obsessive Compulsive Disorder (OCD).