Objective: To study a rare presentation of obsessions as thought broadcasting in patient with difficult to treat schizophrenia. Methods: We report a case of difficult to treat schizophrenia in a patient, who was treated with different atypical antipsychotics. During the course of treatment with Paliperidone, the patient developed obsessions (thought/image) and these obsessions later became the content of thought broadcasting. Results: Symptoms of schizophrenia improved with Clozapine and obsessive compulsive symptoms improved with Paroxetine. Conclusion: Clinicians should consider transformation of psychopathology in patients with difficult to treat schizophrenia.