This chapter deals with the psychiatric examination of psychotic symptoms in children, preadolescents, and adolescents. Because of the strong association of psychosis with affective disorders, assessment of mood will be covered in a separate chapter. The examiner will attempt to approach the nature and severity of psychotic symptoms with sensitive and systematic exploration. As with any other internalizing symptom, the child will be the most important reporter of the disturbing symptoms. The child provides confirmatory evidence of the presence of psychotic features or of a psychotic syndrome.