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<p>Psychiatric and behavioural problems are reported to occur in 35-50% of children with epilepsy. They affect the quality of the children's and their families lives in a very challenging manner.</p><p>The <em>ad hoc</em> Commissions and Taskforces of the International League Against Epilepsy are regularly following progress made in the field, also promoting a larger diffusion of existing knowledge and future research.</p><p>The present report is a state-of-the-art critical review, putting together numerous data concerning topics such as epidemiology, pharmacotherapy, the effects of antiepileptic drugs and epilepsy surgery, the relationships between epilepsy and many psychiatric disorders. It also points out the specific areas in need of controlled trials, such as early diagnosis and management.</p>