This article reports the results of a national survey of school counselors that gathered information about the extent of school children's psychiatric diagnoses and usage of psychotropic medication, school policy issues arising from these practices, and counselors' perceived need for further training. Results support the assertion that psychotropic medication is widely prescribed to school-aged children creating school policy concerns and that school counselors desire further training regarding children and psychotropic medication. Note: A copy of the survey instrument is available upon request from the authors.