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Child psychiatry in private practice is a source of real professional satisfaction. However, it has become the exception in private practice consultation, owing to the difficulties of one person managing the carer of the child along with its family, and the involvement of numerous other parties such as teachers, and social workers in the case of children in foster care. The payment per consultation in Sector I has proven to be unviable for such large workloads. Complex situations such as children in foster care or sexual assault need to be shared with a multidisciplinary medico-social or public sector team. Private consultation in child psychiatry is more suited to those cases we refer to as “small Winnicott cases,” where the symptoms are primarily connected to the vicissitudes of Oedipal development.