Presents a case report of a 9-year-old Kuwaiti female youngster was referred to our outpatient clinic for long-standing difficult-to-treat SM that started at age of 5 when she first joined Kindergarten. She failed 2-year therapy sessions. Also, she was tried on fluoxetine, coupled with therapy by a private child psychiatrist, up to 15 mg/d over 8 weeks, but to no avail. Only headaches and gastric upset were reported initially. Sertraline was then tried, up to 100 mg/d on two divided doses for another 6 weeks, but deemed futile too. Infrequent diarrhea was noted. She was followed-up by school psychologist. She is now in grade 3, but at risk of being dismissed for nonparticipating in scholastic activities and classroom discussions. She is the product of elective caesarean section of nonconsanguineous monogamous family. She ranks the third among five sibs. Uneventful developmental trajectories with the exception of occasional nocturnal enuresis that was addressed at large with desmopressin. Family history of note is for paternal uncle obsessive-compulsive disorder. No relevant medical history, apart from occasional bronchial asthma with nebulized salbutamol on when-needed basis. No history of traumatic experience.