Introduction: Dhat syndrome is a culture-bound syndrome seen in the Indian subcontinent and also similar syndrome has been described in another part of the world. Aims: To explore socio-demographic characteristics, associated depression, prior help-seeking, and beliefs regarding causation and consequences in patients with Dhat syndrome. Method: Prospective study on 100 patients of dhat syndrome attending Psychiatry department as an outpatient in a tertiary care general hospital in western India. Depression was assessed by the Patient Health Questionnaire (PHQ 9). Patients were interviewed for beliefs about dhat, prior help-seeking, and explanations of dhat offered by the helpers. Patients__ampersandsignrsquo; views why they have dhat syndrome and opinions about the consequences of dhat syndrome were explored. Results: The majority were the young adult, migrant workers from neighbouring states with education up to high school, and belonging to lower socioeconomic status. Depression was found in 38 % case. Patients reported a significant decline in sexual functioning after the onset of dhat- 18 had premature ejaculation, 28 had erectile dysfunction and 20 had small penis size as associated complaints. Most patients had consulted non-psychiatry __ampersandsignlsquo;experts__ampersandsignrsquo;- quacks, general practitioners or practitioners of Ayurved/homoeopathy/ Unani, and dermatologist-venereologist. Most patients believed that dhat can cause somatic symptoms are commonly seen in depression as well as sexual dysfunctions. Conclusion: The study largely confirms the findings of earlier studies on dhat syndrome. A significant proportion of patients are having depression and decline in sexual satisfaction and sexual dysfunctions. They also believe sexual myths often propagated by quacks.