Diagnosis and treatment for Functional Neurological Symptom Disorder (FND) is often complicated by the insidious nature of clinical presentation, especially in the pediatric presentation. This case depicts an adolescent male who presented for an overdose secondary to ongoing FND symptoms. The patient had concurrent urinary retention leading to infection and transfer to the emergency department. He was subsequently discharged home with minor changes made to his treatment plan. This case highlights a unique representation of a somatic symptom disorder with physiologic presentation, which depicts the importance of recognizing risk factors in the pediatric population. Better recognition of at-risk patients could improve treatment options, outcomes, and minimize time to diagnosis and disruption in care.
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