The introduction and importance of the research included that physical education and its various activities are important for the disabled. The exercise of physical activities by the disabled effectively contributes to raising their level of fitness and reducing diseases caused by lack of movement. Disabled people often suffer from psychological and social problems, and this feeling may be accompanied by a high level of anxiety, a lack of self-esteem and a loss of self-confidence. Psychological adaptation is one of the concepts of sports psychology interconnected with the psychological climate, as the process that the player seeks to meet his demands and needs. Adaptation includes the pursuit of emotional balance between the individual player and the surrounding environment. Therefore, the importance of the research enables to identify the degree of both self-efficacy and psychological adjustment among disabled table tennis players, and to know the extent of the compatibility of the relationship betweenthem. The study aimed to prepare two scales, a measure of self-efficacy and a measure of psychological adjustment, and to identify the relationship of self-efficacy to psychological adjustment among handicapped table tennis players. As for theoretical studies, the researcher touched on topics related to self-efficacy, psychological adjustment, people with special needs, table tennis and similar studies.The researcher followed the field procedures using the descriptive approach in a survey method. The research community was identified from the table tennis players with disabilities in the hall, the training center of the Iraqi National Paralympic Committee / Ministry of Youth and Sports. The total number of (45) players and players distributed (5) for the exploratory experiment and (40) for the main experiment The two scales of self-efficacy and psychological adjustment were distributed on Saturday and Sunday on 28-29/12/202019 in order to find out the compatibility between them. The results were presented and analyzed, and the most important conclusions were reached: Self-efficacy and its relationship to psychological adjustment among table tennis players with special needs.