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Mental disorders are among the most burdensome of all classes of disease because of their high prevalence, chronicity, early age of onset and resulting serious impairment and disability. Failure to adjust with transitional changes during adolescence can lead to mental health problems. The study was conducted in the rural and urban field practice for a period of one year among rural and urban adolescents of 13-19 years of age. Sample size of 1632 was divided into 859 rural and 773 urban adolescents depending upon 1.9: 1 ratio of rural to urban adolescent population as per census 2011. 100% of rural population have no symptom of trembling, scaring suddenly with no reason, feeling fearful, have to avoid certain things, as they frighten them and feeling tense or keyed up, in past 7 days while 11.5%(89), 1.2%(9), 3.9%(30), 3.4%(26), 15%(117) of urban adolescents respectively …