Background: Children with epilepsy are documented to have increased incidence of behavioral and psychiatric disorders. The reported prevalence range from 30%to 66% according to studies from developed and developing country’s respectively. The magnitude of this co morbidity is not known in Ethiopia.rnObjective: To assess the prevalence of behavioral abnormalities among children on follow up at Tikur anbessa specialized hospital pediatric seizure follow up clinic using SDQ-p form.rnMethod: a facility based cross sectional study was carried out in Addis Ababa from February 1-June 30,2014G.C.the source population was epileptic children who visited TASH pediatrics seizure follow up clinic, accordingly 384 children were included in the study.rnResults: in this study 36.2% of the CWE have high or abnormal total difficulty score. In bivariate logistic regression model older children aged 11-14 were more likely to have abnormal result (p value