OCD is a highly distinctive disorder. Obsessions may seem incredibly unreasonable, counterintuitive, and disconnected, and yet themes of obsessions have been found across the population. The intrusive images and thoughts that arise as a result of the traumatic occurrence begin to be generally transferred to other aspects of life. They rather take on the typical patterns of obsessional thoughts identified in OCD, instead of being intellectually related to the traumatic incident. The onset and exacerbation of OCD are correlated to the individual's current state of stress, different levels of stress. OCD symptoms might vary in severity depending on the ability to perceive stress. According to sociometer theory, self-esteem is an affective state that can be defined as a continuous monitor of belonging, motivating people to maintain or restore inclusionary status. The effectiveness of treatment is frequently measured by the clinician as a reduction in symptoms to a level that the patient considers tolerable and at which the patient can function. In therapeutic trials, a reduction in mean Yale-brown obsessive-compulsive scale (Y-BOCS) scores of 25 to 35% was regarded a satisfactory response to a specific treatment. However, 40-60% of individuals may not respond or respond only partially to these approaches. It is commonly accepted that treatment-resistant OCD is defined as the failure of at least two appropriate therapeutic trials of serotonin reuptake inhibitors (SRIs).