Our aim is to discuss the relationship between diffuse neurologic damage and psychiatric consequences in lightning patients. Lightning injuries affect 800 to 1000 persons per year. Lightning current may şow internally for an incredibly short time and cause short-circuiting of the body’s electrical systems. It seldom causes any significant burns or tissue destruction. Long-term problems are sleep disturbances, anxiety attacks, pain syndromes, peripheral nerve damage and phobias. In this case we report a patient who has been followed up in a psychiatry clinic for three years due to psychiatric signs and symptoms after a lightning.