Definition

Obsessive-compulsive personality disorder (OCPD) is a condition where people are obsessed with rules, order, and control. It can lead to problems in other areas of life, such as work.

Causes    TOP

It is not clear what causes personality disorders. It is likely due to genes and a person's environment.

Risk Factors    TOP

OCPD is more common in men, especially young adults. Other things that raise the risk are:

• Family history of OCPD or obsessive-compulsive disorder (OCD)
• Background of harsh treatment
• Being the oldest child

Symptoms    TOP

OCPD may cause:

• Excessive focus on details and correctness
• Problems completing tasks
• Behavior that is stiff, formal, or rigid
• Thrift with money
• Excessive working
• Inability to throw out worn or useless items
• Inability to share tasks

Diagnosis    TOP

A doctor or therapist will ask about your symptoms, health, and mental health. Diagnosis of OCPD is based on a complete assessment.

Treatment    TOP

The goal is to reduce the unwanted behaviors. Options may be:

• Counseling, such as cognitive-behavioral therapy—to address control issues
• Antidepressants—if helpful, or needed for depression

Prevention    TOP

There are no current guidelines to prevent OCPD. Early treatment can lead to better outcomes.