Psychogenic coma is a condition where a patient appears to be in a comatose state without an identifiable organic cause. This presentation is often linked to psychiatric disorders and can pose significant diagnostic and therapeutic challenges. Effective management requires a structured approach to ensure patient safety, accurate diagnosis, and appropriate treatment. The following write-up details the step-by-step management strategy as outlined in the flowchart, providing comprehensive explanations for each step and decision point [1, 2]. (Ref. Algorithm 5.1).