Background: Pica is an eating disorder frequently reported in children, characterized by the habitual ingestion of non-nutritive substances such as clay, sand, pebbles, hair, lead, plastic, pencil erasers, nails, paper, paint, chalk, plaster, and more. The occurrence of pica is closely related to parenting styles and the nutritional status of the child. Case: A 2-year-old female patient presented with a preference for eating sand and pebbles. This behavior had been ongoing for six months, with the patient consuming these substances almost daily. When discovered by her parents, she tended to ingest them quickly. This issue was also accompanied by sleep disturbances, with the patient waking up and crying up to four times each night. The parental approach to the child’s diet was very permissive, leading to inadequate nutritional intake. The patient felt hungry and wanted to eat something. However, due to parental conflicts and poor economic conditions, the mother neglected the child’s dietary needs, causing the patient to ingest non-food items to satisfy her hunger. Conclusion: The main issues leading to the eating disorder (pica) were insufficient parental supervision, irregular eating habits, and inadequate nutritional intake.