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Abstract : Saudi Arabia has integrated preventive and primary curative services through primary healthcare centers (PHCCs) but lacks adequate mental health services. To address this gap, the Ministry of Health established the Primary Mental Health Care (PMHC) program in 2016, aiming to improve early detection, diagnosis, and management of mental disorders at PHCCs. This study aims to describe the demographic and clinical characteristics of patients referred to the mental health unit in Buraidah city, Qassim province, in 2020-2023. This retrospective cross-sectional study analyzes the medical records of patients referred to the mental health unit in Buraidah city, Qassim province, during 2020-2023. The study population includes all patients referred to the unit in 2020-2023, with inclusion criteria requiring complete medical records. Data, collected via a Google Forms questionnaire, comprises patient demographics, mental illness history, past medical history, provisional diagnosis, PHQ-9 and GAD-7 interpretation, patient response to management, and management methods. This study analyzed records of 200 patients from a mental health unit. Generalized Anxiety Disorder (GAD) and Major Depressive Disorder (MDD) were the most common diagnoses, affecting 38.9% and 38.0% of patients, respectively. The majority of patients reported an impact on sleep, performance, and relationships due to their mental health condition. Most patients were managed with medication (60.0%), while others received Cognitive Behavioral Therapy (26.8%) or social support (13.2%). The level of depression was significantly associated with the number of visits, marital status, and occupation. Marital status was significantly associated with anxiety severity, while other demographic factors showed no significant association. This study showed a higher prevalence of mental disorders among females and young adults. Generalized Anxiety Disorder and Major Depressive Disorder were the most common diagnoses. Mental health conditions significantly impacted patients' lives, particularly sleep, performance, and relationships. Pharmacotherapy was the most common treatment, followed by psychotherapy. Demographic factors were significantly associated with depression and anxiety severity, emphasizing the need for targeted prevention and intervention strategies for at-risk populations.