In this age group, common clinical presentations include anxieties and fears, autism spectrum symptoms, eating and sleeping issues, toilet training battles and related issues of control and autonomy, difficulties with transitions and separation, language delay, gender fluidity and dysphoria, hyperactivity, inattention, aggression such as biting, hitting and kicking. Treatment modalities include psychoanalytic play therapy both with parents in the playroom and later without parents as the child is able to separate.