This case study was carried out with the purpose of identifying the factors of academic stress and how it affects the academic outcomes. The study explored how different individuals are affected with different factors in different ways during their preparation for NEET exams .The study took place with a group of two members from a Pre-University college located in Urban. Data collection techniques included document analysis, administration of Academic stress inventory as well as interviews with parents, teachers and the clients. The data collection focused on different stress factors like Teacher stress, Test stress, Result stress, Studying in group stress, Peer stress, Time management stress and Self-inflicted stress. The lack of emotional support in the absence of parents was a major factor as reported by the two clients. The major concern given by the clients were: not able to complete the lengthy syllabus and the fear of not getting selected in the NEET exam. The lack of achievement in every weekend mock NEET was increasing the stress.