Behavioral health conditions in young children are under-recognized and undertreated. The lack of child psychiatrists makes consultation with primary care providers (PCPs) a critical part of their health care. Of the 973 consultations to the Michigan Clinical Consultation & Care program for children 6 years and below, over half were already on at least 1 medication, and just under half were not engaged in psychotherapy. Attention deficit hyperactivity disorder, anxiety, and autism spectrum disorders were common consultation questions. Among children identified by the psychiatrist as having a trauma and stressor-related disorder, PCPs were less likely to make this diagnosis.