These study is structurally designed to determine the prevalence and factors responsible for Tramadol Abuse among patients in Federal Neuropsychiatric hospital calabar, Nigeria between 2013 and 2018. It's aimed at determining the sociodemographic characteristics associated with Tramadol abusers and the perceived psychological, and socioeconomic  factor responsible for it's abuse as well as preferring recommendations and interventions for curbing the situation.