Background of the study: At-risk mental state (ARMS) is a condition that the people have risk to develop psychosis and schizophrenia and the conditions of ARMS includes anxiety disorder, phobia, obsessive compulsive disorder, personality disorder, post-traumatic stress disorder, alcoholic dependent syndrome (ADS), substance abuse, drug abuse, affective/mood disorder. The transition to psychosis is the period of change from healthy mental state to abnormal conditions of the mind that results in difficulty to determine the reality perceptions and judgment. Aim: The aim of the study is to assess the predictors of transition to psychosis among ARMS patients by using modified BASIS-24-R scale. Methods: A descriptive study consists of 41 neurotic patients. Data were collected by using modified BASIS-24-R scale. Results: Hence, overall 75.6% of level of predictors of transition to psychosis in at risk mental states patients majority of them had moderate risk level of predictors of transition to psychosis and 14.6% of level of predictors of transition to psychosis in at risk mental states patients had mild risk level of predictors of transition to psychosis. Conclusion: The findings of the study revealed that out of 41 neurotic disorder patients having 31 (75.6%) moderate risk level of predictors of transition to psychosis. By using self-instructional module the researcher in order to promote the awareness in order to prevent to develop the psychosis and ARMS management. The instructional module will be effective for the neurotic patients.