Abstract Dermatitis artefact is a rare psychocutaneous disorder. This disorder always mismatched with a diagnosis of a dermatological origin. But actually the patient with Dermatitis Artefacta needs psychiatric consultation in priority and rest all treatment is for symptomatic relief. A patient MS. Sarita came in mental hospital with multiple painful erythematous plaques on forehead with oozing of blood. (Name of Hospital and Patient has Changed to Maintain Confidentiality). The disorder is having poor prognosis. Its a long term disease as well as most challenging case for the psychiatrist. Keywords: Dermatitis Artefacta; Rare; Poor Prognosis; Psychiatric origin.