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Obsessive-Compulsive Personality Disorder

(Anankastic Personality Disorder)

Definition

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.

Causes    TOP

It is not clear what causes personality disorders, but it is likely a combination of inherited factors and a person's environment.

Risk Factors    TOP

OCPD is more common in men, especially in early adulthood. Other factors that may increase your chance of OCPD include:

Symptoms    TOP

OCPD may cause:

  • Perfectionism interfering with task completion
  • Rigidity
  • 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

Diagnosis    TOP

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.

Treatment    TOP

Talk with your doctor about the best treatment plan for you. Treatment options include:

Counseling

Counseling that includes psychotherapy or cognitive-behavioral therapy (CBT) can help people with OCPD learn to have fun, avoid over-intellectualizing, and address control issues.

Medications

In some cases, antidepressant medications can help reduce obsessive-compulsive personality traits. However, long-term use of medications for OCPD has not been helpful. Antidepressants may also be used to treat an associated condition, like depression.

Prevention    TOP

There are no current guidelines to prevent OCPD. Early diagnosis and treatment can reduce how much the personality traits interfere with your life.

RESOURCES:

National Institute of Mental Health
https://www.nimh.nih.gov

CANADIAN RESOURCES:

Canadian Mental Health Association
https://cmha.ca
Canadian Psychiatric Association
http://www.cpa-apc.org

References:

Obsessive compulsive disorder (OCD). EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated September 25, 2017. Accessed October 4, 2017.
Obsessive compulsive personality disorder (OCPD). International OCD Foundation website. Available at:
...(Click grey area to select URL)
Accessed October 4, 2017.
Obsessive compulsive personality disorder (OCPD). Merck Manual Professional Version. Available at:
...(Click grey area to select URL)
Updated January 2016. Accessed October 4, 2017.
Obsessive-compulsive personality disorder symptoms. Psych Central website Available at: https://psychcentral.com/disorders/obsessive-compulsive-personality-disorder-symptoms. Accessed October 4, 2017.
Last reviewed September 2017 by EBSCO Medical Review Board Adrian Preda, MD
Last Updated: 9/30/2013

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