An eighteen years old boy reported with a continuous course illness characterized by features of catatoniasecondary to severe depression with multiple pressure ulcers over sacrum and heels. Ulcers were effectivelymanaged by a team of physiatrist, psychiatrist and rehabilitation nurses. Immobility, reduced nocturnalmovements, increased skin fragility and poor nutrition contributed to the development of the pressureulcer in bed bound patients. Efforts should be directed towards prevention of pressure ulcers to reduceadditional morbidity. Key Message: First case to be reported of a patient with catatonia secondary todepression having multiple pressure ulcers.