Epilepsy and Attention-deficit/hyperactivity disorder are both common childhood neurodevelopmental disorders. The relationship between Epilepsy and Attention deficit hyperactivity disorder (ADHD) is complex and is not clearly understood. It has been found out that ADHD is more common in pediatric epilepsy than in general pediatric population. There may be several factors contributing to the comorbidity which can include the underlying brain pathology, the chronic effects of seizures and EEG changes and the effects of antiepileptic pharmacotherapy. In epileptic children with symptoms of ADHD, treatment becomes a challenge for pediatrics neurologists. But unfortunately there is a lack of management guidelines regarding mental health disorders in children with epilepsy on anti-epileptic medications. The following review article has been planned accordingly to look into the various aspects of childhood epilepsy which will help the pediatricians and the psychiatrists to treat the child accordingly.