Obsessive-Compulsive Personality Disorder
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Obsessive-Compulsive Personality Disorder Introduction
John T. Maltsberger, M.D.
Individuals with obsessive-compulsive personality disorder (OCPD) have a pervasive pattern of rigidity and inflexibility and a preoccupation with control, orderliness, and perfectionism. The disorder is maladaptive and leads to difficulty in working and relating comfortably with others. OCPD is one of the Cluster C personality disorders in DSM-IV (American Psychiatric Association 1994). In the nomenclature of the International Classification of Diseases, Ninth Revision, it is referred to as anankastic personality and historically has been variously described as anal character, compulsive personality, obsessive-compulsive personality, and compulsive personality disorder.
In the literature, discussions of OCPD treatment have often been confused with obsessive-compulsive disorder (OCD), which is currently viewed as a separate and distinct illness. The exact prevalence of OCPD is unclear. Based on Epidemiologic Catchment Area data, Nestadt et al. proposed a prevalence of 1.7% of the adult population; white, married, employed males are most likely to receive the diagnosis.
Revision date: June 21, 2011
Last revised: by Sebastian Scheller, MD, ScD
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The obsessive compulsive personality disorder, like many other mental illnesses. It is linked to genetics and is caused by an imbalance in the person’s brain chemistry. This perfectionism may interfere with the person’s ability to complete a given task, because their rigid standards cannot be upheld. People with the OCPD may emotionally withdraw when they are not able to control the situation. People with OCPD believe that their preoccupations are appropriate. They tend to be high achievers and feel the sense of urgency about their actions. They may become extremely upset if others disturb their rigidly ordered routines. Obsessive Compulsive Personality Disorder was modified to include affective constriction and difficulty expressing warm and tender emotions, reminiscent of the autistic disorders.
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