Ethical and pragmatic issues in the use of psychotropic agents in young children

Objective: To provide an overview of the knowledge base concerning the prescribing of psychotropic agents in young children with mental disorders and related mental health problems. Method: Relevant information is reviewed concerning the knowledge base available to inform pediatric psychopharmacology prescribing practices. Results: Very few psychoactive medications have been adequately tested for safety and efficacy in young children, despite relatively high rates of prescribing. Conclusion: Behavioural and psychotherapeutic strategies are often the wisest first therapeutic intervention for this age group. Psychotropic medications may be required, but should be used cautiously in young children, while additional studies are being conducted.