Introduction: Psychiatry has come a long way and consultation liaison psychiatry (CLP) involving clinical understanding, teaching as well as research activities of psychiatry among the non-psychiatric divisions of a general hospital is expected to revolutionize the subject of psychiatry further. However, the amount of research in India is strikingly low in this regard. Study of referral patterns to psychiatry will help us identify the lacunae in the referral system in India and strengthen consultation liaison services. Aim: To study the referral pattern to psychiatry in a tertiary care teaching hospital. Materials and Methods: All inpatient referrals to the department of psychiatry for a period of four months were included in the study. Data was collected by a semi structured proforma. Psychiatric diagnosis was made with ICD 10 and descriptive statistics were applied. Results: The overall referral rate to psychiatry was found to be 1.8% with majority being from medicine. The most common reason for referral was suicidal attempts and most common psychiatric disorder diagnosed was mood disorders. Conclusion: An alarmingly low referral rate has been found consistently throughout studies despite high presence of psychiatric morbidities. There is an urgent need of better psychiatry training across different medical specialties. The need for enhancing the understanding of psychiatrists and special postgraduate training in this regard is also required.