Michael J. Grana, 74, a psychiatrist who specialized in child and adolescent psychiatry and who maintained a private Washington practice from 1962 to 2002, died Jan. 19 at Sibley Memorial Hospital. He had cancer and a heart ailment.

In addition to his private practice, he served as a staff psychiatrist at Hillcrest Children's Center from 1962 to 1969 and with the Area C Community Mental Health Program in Washington from 1968 to 1990. Over the years, he also taught at Georgetown University and served as chairman of the child and adolescent psychotherapy training program of the Washington School of Psychiatry.

Dr. Grana, who lectured on theories of play therapy, made presentations to such organizations as the American Association of Psychiatric Clinics for Children.

He contributed articles to such publications as the Clinical Proceedings of Children's Hospital. He was a member of the American Academy of Child Psychiatry, the Society of Adolescent Psychiatry and the Washington Psychiatric Society.

He was a recipient of Georgetown University medical school's Vicennial Medal in 1983 and a founding member of the Regeneration Book Club. His hobbies included painting.

Dr. Grana, a Washington resident, was a native of Pittsburgh. After graduating from the University of Pittsburgh in 1950, he served with the Army in Korea during the Korean War.

After graduating from Georgetown medical school in 1957, he served his internship in Pittsburgh. He served his psychiatric residency at Georgetown University Hospital and served another residency at D.C. General Hospital. He held a child psychiatry fellowship at Georgetown Hospital from 1960 to 1962.

Survivors include his wife of 30 years, Teresa, of Washington; a brother; and two sisters.