Objective: This study is aimed to evaluate the frequency of psychotropic drug use in children under age 6, and determine the predictive variables of psychotropic drug use. Methods: For six months, data of children aged up to 6 admitted to Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Child Psychiatry Department was evaluated. Statistical analyses were performed using SPSS version 17 for Windows. A value of p<0.05 was accepted as significant. Results: Total of 953 children under age 6 were recruited. Mean age was 3.5 years and 67.7% were male. 83.4% of all had at least one psychiatric disorder. The most common diagnosis was communication disorders (33.5%). Comorbid psychiatric disorder was found in 5.9% of all and the most comorbid diagnosis was an oppositional defiant disorder (3.3%). Psychotropic drug use was found in 7.3%. The most commonly used drug was risperidone (4%). 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