Background: The psychiatric morbidity profile of children and adolescents is very different from that of adults. Failure of early identification and timely intervention of psychiatric disorders adversely affects the developmental trajectory of children to becoming a healthy adult. Objectives: To study the clinico-demographic profile of patients attending the child & adolescent psychiatric OPD and to estimate the frequency of various psychiatric disorders among them. Methodology: In this retrospective file review study, all patients attending the child and adolescent psychiatry clinic of a tertiary care hospital between Jan 2018- June 2022 were taken. Data collection was done using a semi-structured proforma and ICD-10 was used to make psychiatric diagnoses. Statistical analysis was done by using SPSS 16 (Version 25.0). Results: The total number of cases visiting child psychiatry OPD during the study period was 1199 with an average of 240 cases per year. The mean age was found to be 12 years, with gender distribution revealing male preponderance (58.4%). Around 64% of the participants were 63.8%) were in the age range 10 to 15 years. Most subjects (59.4%) were Hindu by religion and hailed from urban areas (52.4%). Epilepsy (23.9%) was the most prevalent psychiatric disorder, followed by intellectual disability (16.8%), anxiety disorder (14.1%), hyperkinetic and conduct disorder (8.8%), and schizophrenia & other psychotic disorders (10.3%). Conclusion: This study is one of the few ones conducted in a tertiary care hospital in North India. Children in poor nations receive less mental health and psychiatric care than adults do. Our research indicates that Indian clinics may need to improve their offerings for conditions like depression, specific learning disorders, communication disorders, and hyperkinetic disorders. The study also emphasizes the need for more child psychologists special educators, and strengthened counseling services in schools