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Objective: The study is designed to assess the psychiatric morbidity in childern reporting at psychiatry OPD, of National Institute of Childern Health (NICH), Karachi. Study Design: Simple descriptive study Patients & Methodology: All consective patients who reported in child psychiatry clinic were enrolled in this study if they fulfilled the inclusion criteria having age of 3 years to 15 year of either sex. Cases excluded in the study were psychiatric presentation associated with physical illness and symptoms related excluded in the study were psychiatric presentation associated with physical illness and symptoms relatedto drug side effects.