Abstract
This is a case of a 44 years old lady, married and working as a maid. She presented with prominent depressed mood in addition to feeling worthless. She was unable to sleep and felt lethargic during the day. She also expressed death wishes without active suicidal plans. She was treated for Major Depressive Disorder initially. However, her symptoms of depression did not resolve with trial of various antidepressants of adequate dosage and duration. Further exploration and collateral history from family members revealed that her mood symptoms were stem from paranoid delusion towards her husband and his family. As a result of her delusion, she also faced with difficulties in interaction and intimacy with her husband and his family and thus affected her marriage. She was started on antipsychotic, in which, she responded well to it.
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