BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuObsessive-compulsive personality disorderPersonality disorder - obsessive-compulsive; OCPDObsessive-compulsive personality disorder (OCPD) is a mental condition in which a person is preoccupied with: Rules Orderliness Control Causes OCPD tends to occur in families, so genes may be involved. A person's childhood and environment may also play roles.This disorder can affect both men and women. It occurs most often in men. Symptoms OCPD has some of the same symptoms as obsessive-compulsive disorder (OCD). People with OCD have unwanted thoughts, while people with OCPD believe that their thoughts are correct. In addition, OCD often begins in childhood while OCPD usually starts in the teen years or early 20s.Obsessive-compulsive disorderObsessive-compulsive disorder (OCD) is a mental disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations (obsessions...Read Article Now Book Mark Article People with either OCPD or OCD are high achievers and feel a sense of urgency about their actions. They may become very upset if other people interfere with their rigid routines. They may not be able to express their anger directly. People with OCPD have feelings that they consider more appropriate, like anxiety or frustration.A person with OCPD has symptoms of perfectionism that usually begin by early adulthood. This perfectionism may interfere with the person's ability to complete tasks because their standards are so rigid. They may withdraw emotionally when they are not able to control a situation. This can interfere with their ability to solve problems and form close relationships.Other signs of OCPD include:Over-devotion to work Not being able to throw things away, even when the objects have no value Lack of flexibility Lack of generosity Not wanting to allow other people to do things Not willing to show affection Preoccupation with details, rules, and lists Exams and Tests OCPD is diagnosed based on a psychological evaluation. The health care provider will consider how long and how severe the person's symptoms are. Treatment Medicines may help reduce anxiety and depression from OCPD. Talk therapy is thought to be the most effective treatment for OCPD. In some cases, medicines combined with talk therapy is more effective than either treatment alone. Outlook (Prognosis) Outlook for OCPD tends to be better than that for other personality disorders. The rigidness and control of OCPD may prevent many of the complications, such as substance use, which are common in other personality disorders.Substance useSubstance use disorder occurs when a person's use of alcohol or another substance (drug) leads to health issues or problems at work, school, or home....Read Article Now Book Mark Article The social isolation and difficulty handling anger that are common with OCPD may lead to depression and anxiety later in life. Possible Complications Complications may include:Anxiety AnxietyGeneralized anxiety disorder (GAD) is a mental disorder in which a person is often worried or anxious about many things and finds it hard to control ...Read Article Now Book Mark Article Depression DepressionDepression may be described as feeling sad, blue, unhappy, miserable, or down in the dumps. Most of us feel this way at one time or another for shor...Read Article Now Book Mark Article Difficulty moving forward in career situations Relationship difficulties When to Contact a Medical Professional See your provider or mental health professional if you or someone you know has symptoms of OCPD.Open ReferencesReferencesAmerican Psychiatric Association. Obsessive-compulsive personality disorder. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013:678-682.Blais MA, Smallwood P, Groves JE, Rivas-Vazquez RA, Hopwood CJ. Personality and personality disorders. In: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016:chap 39.Gordon OM, Salkovskis PM, Oldfield VB, Carter N. The association between obsessive compulsive disorder and obsessive compulsive personality disorder: prevalence and clinical presentation. Br J Clin Psychol. 2013;52(3):300-315. PMID: 23865406 pubmed.ncbi.nlm.nih.gov/23865406/.AllVideoImagesTogA Closer Look Anxiety disorders(In-Depth)Depression(In-Depth)Eating disorders(In-Depth)Hypochondriasis(Alt. Medicine)Depression(Alt. Medicine)Bulimia nervosa(Alt. Medicine)Schizophrenia(In-Depth)Related Information Obsessive-compulsive disorder(Condition)Depression(Symptoms)Personality disorders(Condition)Depression(In-Depth) Review Date: 11/7/2020 Reviewed By: Fred K. Berger, MD, addiction and forensic psychiatrist, Scripps Memorial Hospital, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. 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