Two hundred and seventy two patients with pulmonary TB (with positive sputum) contacting the TB Demonstration and Training Centre cum Chest Institute, Agra and selected through a specified sampling procedure, were subjected to detailed psychiatric screening. Those suspected to be suffering from a psychiatric condition were assessed by a second psychiatrist for diagnostic reliability. Eighty patients were found to be suffering from a psychiatric condition in addition to pulmonary TB giving a psychiatric morbidity rate of 294.12 per thousand, which was much higher than the rates in the general population of comparable age group as found in various studies. When compared to their counterparts, psychiatric break down was more frequent among those patients who had concomitant physical illnesses, special strains and severe anxieties and, those who were housewives.