Aim : To document the attitudes of patients at disclosure of their HIV sero-positive status during post-test counselling in a Tertiary institution in North eastern Nigeria. Methods : This cross-sectional descriptive study was carried out among clients that presented for VCT at the HIV clinic at the University of Teaching Hospital. Questionnaire administration took place at the clinic; those that consented to participate in the study were subjected to elaborate pre-test counselling. Blood sample was obtained from each participant. The result of each participant was revealed to them confidentially at post-test counselling in the presence of a trained counsellor and social worker. The attitudes, behaviours and concerns of the patients at post test counselling were observed and documented.