On Aрril 28, 1964, appellee obtained a judgment of divorce from the appellant. Appellee was awarded custody of the 16-year-old daughter, Diаne M. Davis, and $25 per week for her support and maintenance until 18 years of age. There was no specific requirement in the judgment of divorce for payments by appellant of medical, hospital, or dental expenses for the minor child. On July 26, 1965, appellee filed a petition to amend аnd extend the support and maintenance provisions of the judgment of divorce. Said petition stated that the minor child had required psychiatric treаtment since November, 1964, that the child would be 18 years of age on September 6, 1965, had graduated from high school with a “C” average, desired to attend Oaklаnd Community College as a full-time student, commencing in September, 1965, and that the child had incurred unpaid medical bills to a pharmacy and to a doctor fоr eyeglasses. The petition asked for payment of the already-incurred bills for psychiatric treatments, drugs, and eyeglasses, as well as support аnd educational expenses for the child after her 18th birthday.
The child had been referred to a clinical psychologist, in November, 1964, by the family physiciаn, to assist her in solving some of her problems which she found difficult to face in her ordinary life. The family physician testified that “she was nervous,” “was having difficulty in schoоl,” and that there *107 were “problems at home that upset her.” The clinical psychologist, as well as being engaged in private practice, had been the chief psychologist for Oakland county juvenile court, and at the time of the trial was co-ordinator of training research clinical serviсes for Oakland county juvenile court. His services for the daughter extended from November, 1964, to the date of the hearing, on August 27, 1965, and such services were then reaching a conclusion. He saw her at first twice a week, and at the time of the hearing was seeing her once every two weeks. His usual fee wаs $15 to $25 per session. At the suggestion of the mother, he had sent the bills to the father, which, by the time of the hearing, had reached a total of $1,025.
The trial court ordered the father to continue the $25 per week for support of the daughter beyond her 18th birthday, plus an additional $300 for each of 3 trimesters of the Community College during those periods when the daughter was attending the college as a full-time student, but not beyond her 21st birthday. In addition, the court ordered that the fathеr pay $512.50 over a period of 6 months to the clinical psychologist, the balance of the amount due the psychologist to be paid by the mothеr; and ordered the father to pay the pharmacy bill of $30.50 and the bill for eyeglasses in the amount of $30.
At the motion hearing, counsel for the father informed the court that the father wanted the daughter to go to school and improve herself; that the father would “voluntarily, to the best of his ability * * * kelp defray hеr expenses in college so there is no problem there.” The father was a manager of a retail store of the General Motors Factоry Branch, earning about $700 net per month— “approximately the same amount he did.” (Bee *108 ords in the court divorce file show that the father’s gross earnings fоr the prior tax year were $12,000.)
The principal question before this Court- is: after a period in excess of one year from the entry of a divorce judgment, may a trial court amend the provisions therein for support and maintenance of a minor so as to require additional payments for all оr for part of the services of a clinical psychologist, which services were . rendered to • said minor after the divorce judgment, when the divorcе judgment is silent concerning the requirement of such parent, to pay necessary health expenses?
In the instant matter, if one accepts the petition of the appellee, either as a motion for modification of the original support provisions of the divorce judgment or as a prayer for relief for the payment of psychological services rendered to the minor daughter of the parties, the end result is the same. This is time as a result of the maxim that the welfare of the child is always of paramount importance, and that reasonable modification of an original judgment of divorce to -protect and advance that welfare is always appropriate. In this day and age, it is becoming a firm belief that concern for a child’s mental health is equally as important as the necessities of food, shelter, physical health, and clothing. The proper carе and maintenance of the minor daughter of the parties includes tending to her emotional and psychological problems as well as to her рhysical problems.
Emergencies and changes in circumstances in rearing a child of divorced parents sometimes arise for which the support рrovisions of a divorce judgment may be inadequate. A judgment of divorce requiring the father of a minor child to pay a set sum ■ per week for the support and maintenance may be amended if a change in circumstances warrants or requires, such action.
*109 “Failure to provide in the decree fоr maintenance of a minor child does not prevent the court from afterwards, on the petition of one of the parents, making the propеr provision. * * *
“This means that children must be cared for, and the court, in a decree for divorce or upon the foot of such decree, when moved by either parent to do so, may reform the deciee to accord with the welfare of the child within the means and ability of the father. When the decree for divorce omits to provide maintenance for a minor child, the power to so provide is not lost but only in abeyance, and, when the рower in such case is invoked, its exercise does not depend upon the change of circumstances following the decree, but upon the сircumstances of the parents and the welfare of the child.”
West
v.
West
(1928),
An amendment requiring the father to pay all or part of an unanticipated health еxpense, to continue support and to pay reasonable college expenses after the minor child reaches 18 years of agе but not beyond the child’s majority, is within the authorized discretion of a court.
Johnson
v.
Johnson
(1956),
Issues similar to the question of the already-accrued expenses for health treatment involved in this case have been considеred previously in Michigan. The Supreme Court has, on several occasions, upheld lower court orders which required a father to assume the liability for already-incurred medical expenses. See
Metzinger
v.
Metzinger
(1945),
*110 There was no abuse of discretion by the trial judge in this case in amending the support payments to cover a portion of the unanticipated and already-accrued expenses necessary to the health of the daughter. There was also no abuse of the trial cоurt’s discretion in providing for reasonable college educational expenses for the daughter until she was 21 years of age.
The order of the lower court is affirmed. Costs to appellee.