Introduction: Mental health problems  areafflicting a large population all across the world. However there is no data on mental health from the Ladakh region. Mental health facilities are also negligible in the region. A study of the clinical and socio–demographic profile of patients attending psychiatry OPD in Leh will give an understanding of the mental health scenario in the region.

Methods : It was a cross sectional chart review study.  All 310 new patients registered in the psychiatry OPD of District hospital of Leh were included in the study. Diagnosis was made on the basis of ICD–10 Criteria.

Results: A slight preponderance of females was found.Most of the patients were in the age group of 20–59yrs.Depression, anxiety disorders and psychotic disorders were the most common diagnosis.

Conclusion: Mental health problems are common in Ladakh region as they are in the rest of the country. So, the policymakers should give high priority for mental health care facilities in LehLadakh.