Fetal alcohol spectrum disorders, characterized by emotional, behavioral, cognitive and/or social disability, is an important condition to those providing mental health treatment worldwide. With no safe level of alcohol consumption found during pregnancy, symptoms at the severe end of the spectrum can be obvious, easily diagnosed and extremely debilitating; at the mild end of the spectrum the disabilities may be subtle, and often attributed to other causes. Common symptomatology in an individual with fetal alcohol spectrum disorders includes: attention problems, impulsivity, mood disorders, conduct and oppositional defiant disorder symptoms, drug and alcohol problems, impaired executive functioning, memory disturbances, learning disabilities, poor social skills and reduced ability to function independently as an adult. Because of the lack of widespread knowledge of this disorder by mental health providers, especially in the absence of mental retardation or dysmorphic features, individuals with fetal alcohol spectrum disorders are often not identified as having an organically based mental health, and/or cognitive disorder; thus reduces their ability to qualify for special support services found to improve long-term outcome. Despite the great need for neuropsychiatric treatment research that could lead to improved fetal alcohol spectrum disorders targeted multilevel mental health, and social support services, there is much the mental health professional can provide at this time to improve the lives of these individuals. Accordingly, the mental health community needs to be prepared, as the disorder becomes more widely recognized by affected patients and their families; they will be requesting formal diagnoses and sensitive, creative options to prenatal alcohol related problems in all areas of neuropsychiatric treatment.