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Context: AIDS is a disease on individual and society. The patient suffering from AIDS shows a higher degree of psychiatric morbidity. The patient develops psychiatric reaction such as denial, hopelessness about life, tension/anxiety and are neglected by family and society. Aims: study of Patient Perception and early Reaction just after diagnosis of HIV positive in adult victims. Methods: Cross sectional study was carried out by conducting exit interview of 62 victims’ of HIV positive Observations: More than half of the cases in 62 studied cases belonged to age group more than 30 years in both sex and female to male ratio was 33:29. The initial reaction to the diagnosis was negative in majority of the respondents. Only 22% of them were hopeful of cure, 56% had anxiety or tension with 54% loss of interest from life while 64% had depression. Conclusion: Patients belonging to higher educated class and higher socioeconomic class were more hopeful of cure. So there is need to create awareness in the community on various aspects of disease and misconception has to be solved.