Would you treat under-18 patients without a Child Fellowship?

I was recently offered a nice gig at a private practice. They asked me if I wanted to treat patients under 18.

I don't have a child fellowship, and under certain circumstances, I would feel open to doing so....E.g. ADHD without stimulants and psychological testing, depression of the minor sort, so long as there was very good psychotherapy and the parents were very on board and not trying to throw a pill at the problem.

Do any of the attendings here treat under-18 without a child fellowship. If you have a child fellowship, would you recommend it, or not?

I've decided for myself that I'm comfortable treating children that are in the older range (15+) for simple issues. E.g. issues that may just require an SSRI or or Wellbutrin for example for ADHD. That, and I believe the parents aren't trying to have me throw a pill at a problem while they shrug off what they can do to help the child without the use of medications.

From a legal perspective, I think one can defensively and responsibly treat children if 1-it is within the standard of care within the local community. E.g. what if there were no child psychiatrists in the area? 2-the parents are informed well ahead of time that you are not as skilled as a child-psychiatrist and therefore they may wish to go to a child psychiatrist should the case become complicated.

In my case, there are no child-psychiatrists in the local area, and it seems the PCP giving out psychotropic meds to children appear to be practicing a lower standard than I would. E.g. Adderall without any psychological testing.

Ultimately, the issue may be determined by your insurance. They may or may not allow you to treat children depending on your payment plan. Insurance companies will also give far better information on treating responsibly in a manner that will not open yourself up to a lawsuit.

What I'm going to do is call my insurer and discuss the issue.