Obsessive-Compulsive Personality Disorder
Obsessive-compulsive personality disorder (OCPD) is a personality disorder characterized by excessive perfectionism and a need for control over one's environment. People with OCPD tend to be reliable and orderly, but also inflexible and unable to surrender control.
It is not clear what causes personality disorders, but it is likely a combination of inherited factors and a person's environment.
Factors that may increase your risk of developing OCPD include:
- Sex: males, especially in early adulthood
- Family history of OCPD or OCD
- Background of harsh discipline
- Being the oldest child
Symptoms may include:
- Perfectionism interfering with task completion
- Being frugal with money
- Overattention to detail
- Excessive devotion to work
- Inability to discard worn or useless items
- Extreme morality
- Inability to delegate tasks or share
- Stiff, formal, and/or rigid mannerisms
- Extreme preciseness and/or punctuality
You will likely be referred to a psychiatrist or therapist, who will ask you about your symptoms and mental and medical health history. A diagnosis will be made after a complete psychiatric assessment.
Talk with your doctor about the best treatment plan for you. Treatment options include:
Counseling that includes psychotherapy or cognitive behavior therapy can help people with OCPD learn to have fun, avoid over-intellectualizing, and address control issues.
In some cases, anti-depressant medications can help reduce obsessive-compulsive personality traits. However, long-term use of medications for OCPD has not been helpful. Anti-depressants may also be used to treat an associated condition, like depression .
There is no known way to prevent OCPD. Early diagnosis and treatment can reduce how much the personality traits interfere with your life.
- Michael Woods, MD
- Reviewed: 09/2013
- Updated: 09/30/2013
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