Background Among 243 million adolescents in India 10-20 is estimated to have psychological disorders. Many cases are not detected and screened due to lack of awareness and because of health departmentrsquos singular focus limiting to their reproductive and physical health. This has contributed extensively to the increasing psychiatric morbidities in the adults over the years.Objectives To compare the psychological and behavioural problems of adolescents in a rural and an urban school using Goodmanrsquos Strength and difficulties questionnaire.Methodology A cross sectional study was conducted at rural and urban schools located in field practice area of Department of Community Medicine Tertiary medical college hospital Bengaluru. Data was collected after taking written consent from head of institution and oral assent taken from students. SDQ Strengths and Difficulties questionnaire a predesigned questionnaire was used for data collection. The study lasted for a time period of June to September 2019. Results were analyzed using SPSS version 20.Results T-SDQ scores were normal close to average in 68.33 of rural amp urban study population. 17.66 Males were found to be having higher scores when compared to 15 females. Mean and SD scores of Peer conduct emotional problems were found to be higher in rural study population i.e conduct problems 3.73plusmn1.805 peer problems 3.73plusmn1.744 Emotional problems 3.73plusmn2.481 thereby resulting in overall high Total SDQ scores 14.15plusmn5.151.Conclusion Our study has reported that 24.99 of adolescents were having more than high scores. Therefore there is need to counsel and develop rapport with the students as well as parents regarding the Psychiatric morbidities and problems. And train the teachers and parents to regularly use SDQ to assess the students and identify the hidden problems while doing so.