Obsessive-Compulsive Personality Disorder

Obsessive-compulsive personality disorder (OCPD) is a pervasive preoccupation with orderliness, perfectionism, and mental/interpersonal control, at the expense of flexibility, openness, and efficiency. Features: preoccupation with rules/lists/order, perfectionism that impairs completion, devotion to work over leisure, excessive conscientiousness over morals, inability to discard worn-out objects, reluctance to delegate, miserliness, and rigidity/stubbornness. It differs from OCD: ego-syntonic, no true obsessions/compulsions. Treatment: long-term psychodynamic/CBT psychotherapy; medication only for comorbid symptoms.

Common Symptoms

Preoccupation with order/rules/lists; perfectionism impairing completion; devotion to work over leisure; rigidity/stubbornness; miserliness; difficulty delegating

Causes and Pathogenesis

Temperamental/developmental factors produce a pervasive, ego-syntonic style of control, perfectionism, and orderliness.

Treatment

Long-term psychotherapy (psychodynamic/CBT); treat comorbid depression/anxiety; medication for symptoms only

Preventive Measures

Flexibility training; reduce rigid expectations; early psychological support.

Department to Visit

It is recommended to visit the Psychiatry department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.