Objective: To review the literature over the past decade on the genetics of
childhood neuropsychiatric disorders. Method: A computerized search was pe
rformed for articles published in the past decade, and selected papers were
highlighted. Results: The past decade of research has illuminated the comp
lex genetics of early-onset mental disorders. Advances in statistical metho
dologies and laboratory-based gene-hunting techniques are laying the founda
tion for a deeper understanding of both the biological and environmental fa
ctors that contribute to mental illness. Researchers are on the verge of id
entifying and characterizing genetic vulnerabilities involved in common chi
ldhood psychiatric syndromes. Conclusions: Although the study of the geneti
cs of childhood psychiatric disorders has advanced significantly over the p
ast decade, considerable work remains. The identification of genes conferri
ng vulnerability to psychiatric illnesses will have the potential to transf
orm the field by providing insight into both biological and environmental d
eterminants that contribute to serious developmental and psychiatric disord
ers in children and adolescents. These advances promise new understanding a
nd new avenues for prevention and treatment. They will also present physici
ans and families with significant clinical and ethical challenges.