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The aim of the study was to determine the nature and extend of Mental Health issues in institutionalized adolescent orphans of District Kupwara. A case study of orphans aged 11 to 17 years from 04 orphanages in Kupwara. A structured and internationally standardized interview schedule MINI Kid (Mini International Neuropsychiatric Interview for Kids) was used for data collection and socio-demographic sheet was also used for additional information. Kapuswaour’s scale was used to see the Socio-economic status of kids. Data were cleaned and analyzed by SPSS version 16.00 windows. Eleven participants (13.75%) met DSM 1V criteria for MDE, 6.5% reported suicidal tendencies, 11.25% showed dysthymic symptoms, 10% panic disorder, 20% agoraphobia, 7.5% separation anxiety disorder, 16.25% social phobia, 15% specific phobia, 6.25% PTSD symptoms, 1.25% substance dependence (Non-alcoholic), 3.75% ADHD, 1.25% conduct disorder, 3.75% ODD, 8.75% GAD and nineteen participants i.e. 23.75% showed co-morbid conditions. Orphan-hood brings a host of various mental health vulnerabilities. A cultural recognition of Mental Health problems and the long term negative consequences of these issues need to be developed and interventions to address these vulnerabilities and risks for mental health problems among institutionalized orphans.