The aim of this article is to present our reflexions on legislative changes in psychotherapy, including child and adolescent psychotherapy, that are currently being introduced in Poland. The authors analyse this process in the context of the crisis in the field of child and adolescent psychiatry and its causes indicated by the initiators of the reform. They put forward the question whether the proposed solutions would contribute to the improvement of the current situation or rather be a source of new problems and tensions including complications in practicing psychotherapy by psychotherapists who have been educated in the previous system, verified by scientific societies. Discussed issues are presented from different perspectives: the perspective of clinical practice with children, adolescents and their families in the public health care system; the perspective of scientific research showing current reflections on issues of defining methods of verifying psychotherapy effectiveness based on literature reviews including up-to-date guidelines to its application in the field of family therapy; and the perspective of the psychotherapy training process, considering possible implications of currently introduced changes in this area. The authors discuss controversial topics in a clarifying and systemized way in order to provoke deeper reflection among psychotherapeutic societies.