OBSESSIVE COMPULSIVE PERSONALITY DISORDER (OCPD)

Description

  • A personality disorder that’s characterized by extreme perfectionism
  • The person is preoccupied with rules, orderliness and control
  • Commonly mistaken for OCD, but the two are not the same

Symptoms

  • Preoccupation with details, orderliness and rules
  • Extreme perfectionism, resulting in dysfunction and distress
  • Desire to be in control of people, tasks and situations
  • Inability to delegate tasks
  • Neglect of friends and enjoyable activities
  • Inability to discard broken or worthless objects
  • Rigid and stubborn
  • Inflexible about morality, ethics or values
  • Tight, miserly control over budgeting and spending money
  • An overwhelming need to be punctual
  • A rigid adherence to moral and ethical codes

Causes

  • The exact cause is unknown
  • Most likely caused by genetics
  • Childhood experience could also be a cause

Risk Factors

  • Men are twice as likely as women to be diagnosed
  • Family history of personality disorders or other mental illness
  • Abusive, unstable or chaotic family life during childhood
  • Being diagnosed with childhood conduct disorder
  • Variations in brain chemistry and structure

Diagnostic Tests

  • Physical exam
  • Psychiatric evaluation
  • Symptoms are compared to the diagnostic criteria in the DSM-5
  • At least four symptoms should be present from the DSM-5 list

The DSM-5 list contains following symptoms for OCPD:

  • Is preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost.
  • Shows perfectionism that interferes with task completion.
  • Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships.
  • Is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values.
  • Is unable to discard worn-out or worthless objects even when they have no sentimental value.
  • Is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things.
  • Adopts a miserly spending style toward both self and others.
  • Shows rigidity and stubbornness.

Treatment

  • Cognitive behavioral therapy (CBT)
  • Relaxation training
  • Psychotherapy
  • Medications

Medications

  • Antidepressants
  • Mood stabilizers
  • Antipsychotic medications
  • Anti-anxiety medications

Lifestyle Management

  • Be an active participant in your care
  • Take your medications as directed
  • Learn about your condition
  • Get active
  • Avoid drugs and alcohol
  • Get routine medical care