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Not being related to the side effects of the applied treatments for schizophrenia and other psychosis patients, movement disorders, joint contractures resulting from long-lasting catatonic status, muscular atrophy, joint degenerations, connective tissue weaknesses, and joint deformities may develop. In the study, a patient with the diagnosis of schizophrenia with common physical deformities is presented. A 46-year old male who had a plastic surgery operation at the age of 16, when he was being made fun of having an aquiline nose. After his military service, he used to stand on immobile posture for about 3 to 4 hours a day by telling that he was trying to heal his feet. At the age of 26, he began to live alone. He didn’t let anyone get into the house for a year and he used to stand in the same posture for hours. In the following year, the family member forced him to enter his room and they realised that he lost weight and he was unable to walk. By himself continuing to talk himself illogically, laugh, hear ordering sounds, look at a point and complain skepticism, he started to stand on the same posture for longer hours after the earthquake in 2009 as he thought he would disturb the natural balance. In individual history, there were no notable disorders and operations but his plastic surgery operation. Family history was unremarkable. After his physical examination, common muscular atrophy based on immobile posture, cachexia, şexion contractures on fingers, hips and knees, bilateral ankle contractures were diagnosed. After his psychiatric examination, low self-care capabilities and catatonic posture as well as restricted mood and blunt affect were observed. He was conscious with restricted cooperation, his time tendency was indifferent whereas he had full tendency to places and humans. The speed and the quantity of the association of ideas were deteriorated. His speaking was insufficient and incoherance was diagnosed. Persecution, reference, grandiose and bizarre delusions and auditory and visual hallucinations were identified. His routine tests were normal. Brain MR and EEG were asked as well as a neurology consultation. After the evaluation of MR and EEG, no neurologic disorder was suspected. After consideration of the physical deformities resulting from immobilization, physiotherapy was suggested. Schizophrenia was diagnosed based on DSM IV-TR diagnosis criteria. ECT was planned due to the patient’s catatonic posture, and in total 13 sessions of ECT were applied. At the same time, the treatment of 5mg/day Olanzapine was started then increased to 20mg/day later. In the fifth week of the treatment, Paliperidone 3mg/day was added and then increased to 6mg/day. The patient was discharged from the hospital with the receipt of Olanzapine 20 mg/day and Paliperidone 6 mg/day. The catatonic posture of the patient became usual and began to mobilize on wheel chair. It could be foreseen that the patients with schizophrenia might have the risk of developing physical deformities. On the other hand, the lack of studies on the issue is remarkable.