Self-injurious behavior (SIB) is a broad term, describing behaviour that causes harm to one-self. SIB are more prevalent among individual with intellectual disability. This individual are greater risk for developing both physical and mental health conditions including seizure, anxiety, mood disorder and psychosis etc. Management of people with self-inflicted injury, having Intellectual disability (ID) along with seizure disorder and psychosis is challenging. The purpose of this case report is to review clinical findings in a patient who presented with severe pain abdomen, vomiting, fever, difficulty in micturition and burning micturition. A case report of an 14year old girl of ID (IQ=53%) with seizure disorder and psychosis having self-insertion of bizarre objects through normal bodily orifices is presented. The physical examination findings- febrile, pallor positive and tenderness in left illac fossa. MSE findings- she was uncooperative to examination and exhibited oppositional behavior, disinhibited behaviour.she also display inappropriate smile towards nearby peoples and shows aggression, hostility towards her mother. No hallucinatory behaviour was observed. Radiological findings reveals-radiograph of pelvis AP view shows- linear opacity of metallic density, lying obliquely in lateral aspect of sacrum. USG whole abdomen reveals, foreign body in left illac regions with surrounding inflammation, sigmoid colon oedematous, along with enlarged lymph nodes. Diagnosis of SIB and MR with behavioural abnormalities and seizure disorder was made (ICD-10, F70.1 + G40). OT procedure is carried out to remove foreign body from body.