Delirium tremens or alcohol withdrawal delirium is a severe complication of alcohol dependence and it occurs in approximately 5–20% of patients who go through alcohol withdrawal. There are many dilemmas and controversies with respect to its occurrence, aetiology, pathogenesis, evaluation and management of alcohol delirium tremens (DT). Consecutively referred patients with alcohol related problems to the Department of Psychiatry, who fulfilled the inclusion criteria were included in the study. A total of 150 cases were assessed and 142 cases were included for the final analysis. All the patients were assessed on the day of referral or admission and appropriate scales were used to collect the data. A total of 31 patients (21.8%) had developed Delirium tremens (DT) out of 142 patients which were hospitalized for alcohol dependence syndrome over a period of 1.5 years. Alcohol Withdrawal Seizures were seen in 18 cases (12.7%), all of which were of generalized tonic clonic seizures (GTCS) in semiology and occurred within the first 72 hours of the last drink of alcohol. There was a high prevalence of co- occurrence of withdrawal seizures with DT in 11 (7.7%) patients.