In terms of phenomenology, it was apparent that obsession and delusion can at times become difficult to differentiate. Literature based evidence demonstrates that combination of antidepressant and antipsychotic medication may benefit depression, with psychosis. Similarly, in resistant OCD, addition of atypical antipsychotic medication helps in bringing improvement in clinical profile. In this case report, there was a marked improvement in mood, intensity of delusional belief was weakened and insight was regained. Finally, she was discharged with a follow-up appointment in two weeks.