Obsessive-Compulsive Personality Disorder
(Anankastic Personality Disorder)
DefinitionObsessive-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.
CausesIt is not clear what causes personality disorders, but it is likely a combination of inherited factors and a person's environment.
Risk FactorsOCPD is more common in men, especially in early adulthood. Other factors that may increase your chance of OCPD include:
- Family history of OCPD or obsessive-compulsive disorder (OCD)
- Background of harsh discipline
- Being the oldest child
SymptomsOCPD may cause:
- 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
DiagnosisYou 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.
TreatmentTalk with your doctor about the best treatment plan for you. Treatment options include:
CounselingCounseling that includes psychotherapy or cognitive-behavioral therapy (CBT) can help people with OCPD learn to have fun, avoid over-intellectualizing, and address control issues.
MedicationsIn 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 .
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