Obsessive Compulsive Personality Disorders - OCPD

Obsessive-compulsive personality Cause, Symptoms, Treatment, Medication

Definition of Obsessive-compulsive personality disorder

Obsessive-compulsive personality disorder is a condition characterized by a chronic preoccupation with rules, orderliness, and control.

Cause of Obsessive-compulsive personality

These are growing evidence that Obsessive Compulsive Disorder or OCD has a neurobiological basis. It is no longer attributed to family problems or to attitudes learned in childhood. Neuro scans show that patients with OCD have a set pattern of brain activity that differs from people with no mental illness.

Diagnostic Criteria of Obsessive-compulsive personality disorder OCPD

A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

1. is preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost
2. shows perfectionism that interferes with task completion (e.g., is unable to complete a project because his or her own overly strict standards are not met)
3. is excessively devoted to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity)
4. is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification)
5. is unable to discard worn-out or worthless objects even when they have no sentimental value
6. is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things
7. adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes
8. shows rigidity and stubbornness

Differential Diagnosis of Obsessive-compulsive personality disorder

Obsessive-Compulsive Disorder; Narcissistic Personality Disorder; Antisocial Personality Disorder; Schizoid Personality Disorder; Personality Change Due to a General Medical Condition; symptoms that may develop in association with chronic substance use.

Medication of OCPD

Anafranil
Luvox
Paxil

The outlook for people with obsessive-compulsive personality disorder tends to be better than that of other personality disorders. The self-imposed rigidness and control of people with obsessive-compulsive personality disorder may prevent many of the complications - such as drug abuse - that are common to the other personality disorders.

Features of obsessive compulsive personality (anankastic) disorder

• Rigid and stubborn
• Overconscientious and scrupulous
• Preoccupied with details, rules, etc.
• Excessively doubting and cautious
• Inhibited by perfectionism
• Excessively pedantic and bound by conevntion
• Expects others to submit to his ways
• Excessively concerned with productivity

Note: DSM-IV has two additional criteria:

• miserly; hoards money; and
• cannot discard worthless or worn out objects.

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Site last updated: March 4, 2008

Treatment for obsessive compulsive personality disorder, case study obsessive compulsive personality disorder - OCPD