Patients with schizophrenia are often suggested to be less sensitive to pain and usually this phenomenon was considered as “psychotic analgesia”.3 Although there was analgesic abuse in the present complaint of our case, at past he could not withstand compulsive behaviors such as: rubbing his hands to his own eyes as nearly enucleating them, or rubbing his hand to his wings of nose, leading to laceration without using any analgesic agent. It was mentioned that the more unusual the self-mutilation done, the higher possibility of the patient to be psychotic.2 Hallucinations, Schneider’s symptoms, delusions are well known risk factor for self mutilation in schizophrenia.4 Nevertheless, we could not find any relationship between florid positive psychotic symptoms and self-mutilating behaviors. Another interesting feature of this case was analgesic abuse and comorbid rupturing of tongue. However, the patient is still continuing to abuse analgesic agent after rupturation of his own tongue. Thus, analgesic drug abuse and schizophrenia comorbidity seems another explanation. Finally, successful treatment of self mutilation with olanzapine in psychotic disorders was reported in literature.5