Friedreich’s ataxia (FA), a rare inherited disorder that mainly affects Caucasian populations, presents significant diagnostic challenges in regions with diverse genetic backgrounds. This case report details the diagnostic journey of a 22-year-old Omani male with undiagnosed FA, highlighting the value of the idiographic approach within a biopsychosocial framework. Initially presenting with psychotic symptoms, the patient underwent a comprehensive interdisciplinary evaluation, revealing neurological and psychiatric manifestations.