Prevention requires a paradigm shift, however. Mental, emotional, and behavioral disorders are predominantly developmental,
and thus for maximum impact prevention must focus on the young. The authors noted that "half of lifetime cases of mental,
emotional, and behavioral disorders start by age 14, and three-fourths of disorders start by age 24." The shift needs to occur
in considering the needs of children. Chien pointed out that "when you see [adult] patients in the office, it is hard to do
primary prevention because they already have a diagnosable disorder, but you can do primary prevention for their children.
Think about their family." Beardslee agreed, noting that the same clinician can do both treatment and prevention.