Abstract: The present case report highlights the role of inconsistent parenting in causation and maintenance of psychopathology of a 17 year old boy, referred here as “Anil”, diagnosed with Obsessive Compulsive Disorder.The case report also puts forward the Psychiatrist’s and the Clinical Psychologist’sreflection, focussing mostly on the treatment outcome. Pharmacotherapy and Cognitive Behaviour Therapywere the treatment of choice for Anil where Cognitive Behaviour Therapy was being modified according to the developmental needs and family context. The case report also puts forward the significance of early attachment and parenting (Guidano and Liotti,1983, Safran,1990) and the role they played in the development and maintenance of the dysfunctional beliefs (Bhar and Kyrios,2000).