Although pediatricians generally do not treat psychotic illnesses, it
is quite relevant for physicians who care for youths to be familiar wi
th the uses and risks of antipsychotic medications. Antipsychotics and
their related compounds are commonly used in nonpsychiatric settings
for general medical conditions. In addition, antipsychotics are freque
ntly prescribed by psychiatrists not only for psychotic illness, but f
ur a wide range of other conditions. Since treatment with older anitps
ychotics was often associated with suboptimal symptom reduction and pr
onounced side effects, newer agents have recently been developed in ho
pes of circumventing these shortcomings. This article summarizes for t
he pediatrician what is currently known about the use of antipsychotic
s in the young, and considers the future of these newer medications in
the pediatric psychopharmacology.