<p>Coaches (last time I looked) are usually absolutely not any family member or friend, so the kid has a clean slate, going in, and can develop an unfettered relationship. Also, remember, it’s not just that med dosages may need to be revised over time or may take some time to show effects. Some are the wrong meds for his specific needs- and you can’tknow this until it’s tried. It’s not unusual to switch. This is where a good psychiatrist who really knows teens is a wise partner. Not just someone who sees teens as part of a larger practice.</p>