There are four general approaches to treatment for the symptomatic child. In individual child psychotherapy, the child is seen alone and play therapy is often utilized to help the child become aware of his feelings and express them more appropriately. In conjoint parent-child psychotherapy and counseling, the child is seen together with one parent, usually the mother. The focus may be on the child, the parent, or both. A third form of treatment, parent therapy and counseling, involves one or both parents without the child for therapy or counseling. In some approaches parents are taught therapeutic techniques and child management procedures. The final treatment form is conjoint family therapy in which the entire family is seen. The principal focus is usually on the parents, and children are often ignored. Each approach has strengths but is incomplete as a treatment mode when used alone. An integration of child and family therapy is recommended which includes approaches which work within the framework of conjoint family therapy, combining techniques of family therapy with play therapy, and other approaches which provide concurrent child and family therapy. (NRB)