Limited resources: Access to specialized mental health services and resources can be limited, particularly in rural or underserved areas. Stigma: Despite efforts to reduce stigma, mental health issues are still often stigmatized, which can affect the willingness of families to seek care. Workload: The demand for pediatric mental health services often exceeds the supply of qualified professionals, leading to heavy workloads for PMHS. Complex cases: Children and adolescents with mental health issues often have complex needs that require multidisciplinary approaches.