Compulsive Personality Disorder
Obsessive-Compulsive Personality Disorder (OCPD) is a mental health condition characterized by a pervasive pattern of preoccupation with orderliness, perfectionism, and control, at the expense of flexibility, openness, and efficiency.

What is Obsessive-Compulsive Personality Disorder?
Obsessive-Compulsive Personality Disorder (OCPD) is a mental health condition characterized by a pervasive pattern of preoccupation with orderliness, perfectionism, and control, at the expense of flexibility, openness, and efficiency.
Individuals with OCPD may excessively focus on details, rules, and lists, have difficulty delegating tasks, and exhibit rigidity and stubbornness in their thinking and behavior. This pattern of thinking and behavior may cause significant distress and impairment in personal, social, and occupational domains.
It is important to note that OCPD is different from obsessive-compulsive disorder (OCD), which is a distinct and separate disorder characterized by the presence of recurrent, intrusive, and distressing obsessions and/or compulsions.
Who does Obsessive-Compulsive Personality Disorder affect?
Obsessive-Compulsive Personality Disorder (OCPD) affects an estimated 1-3% of the general population. It is more common in men than in women, and tends to develop in early adulthood.
OCPD can impact people of any culture, ethnicity, or background. It can cause significant distress and impairment in personal, social, and occupational domains, and may lead to difficulties in interpersonal relationships and work-related functioning.
OCPD is a distinct and separate disorder from obsessive-compulsive disorder (OCD), which affects a similar percentage of the population but is characterized by the presence of recurrent, intrusive, and distressing obsessions and/or compulsions.
What are the symptoms of someone with Obsessive-Compulsive Personality Disorder?
Obsessive-Compulsive Personality Disorder (OCPD) is characterized by a pervasive pattern of preoccupation with orderliness, perfectionism, and control, at the expense of flexibility, openness, and efficiency. Some of the specific symptoms of OCPD include:
Preoccupation with details, rules, lists, and schedules to the point of losing sight of the bigger picture
Perfectionism to the point of self-imposed unattainable standards, and being excessively critical of oneself and others
Rigidity and inflexibility in thinking, problem-solving, and decision-making, and an unwillingness to delegate tasks or share responsibilities
An excessive focus on work, productivity, and achievement, at the expense of leisure and relaxation
A lack of openness to new experiences and ideas, and a tendency to be emotionally distant, formal, and impersonal in relationships
A strong need for control and order, and a tendency to become anxious or angry when things do not go according to plan
An inability to discard or part with objects, even when they are no longer useful or have no sentimental value
These symptoms are persistent and pervasive across a range of personal and social situations and cause significant distress and impairment in personal, social, and occupational domains.
What are the diagnosis criteria for Obsessive-Compulsive Personality Disorder?
The diagnostic criteria for Obsessive-Compulsive Personality Disorder (OCPD) are outlined in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). To receive a diagnosis of OCPD, a person must meet the following criteria:
A pervasive pattern of preoccupation with orderliness, perfectionism, and control, at the expense of flexibility, openness, and efficiency, beginning in early adulthood and present in a variety of contexts.
The pattern is characterized by at least four of the following:
Preoccupation with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost.
Perfectionism that interferes with task completion (e.g., is unable to complete a project because his or her own overly strict standards are not met).
Excessive devotion to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity).
Over conscientiousness, scrupulousness, and inflexibility about matters of morality, ethics, or values (not accounted for by cultural or religious identification).
Inability to discard worn-out or worthless objects even when they have no sentimental value. f. Reluctance to delegate tasks or to work with others unless they submit to exactly his or her way of doing things.
A miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes.
The symptoms cause clinically significant distress or impairment in social, occupational, or other critical areas of functioning.
The person's behavior and mental symptoms are not due to a substance or medical condition.
Note that OCPD is diagnosed only when these symptoms cause significant distress or impairment in personal, social, or occupational domains.
What are strategies and treatments for overcoming Obsessive-Compulsive Personality Disorder?
The treatment of Obsessive-Compulsive Personality Disorder (OCPD) typically involves a combination of psychotherapy, medication, and self-help strategies. Some of the specific strategies and treatments for overcoming OCPD include:
Psychotherapy: OCPD can be treated with psychotherapy, particularly cognitive-behavioral therapy (CBT). CBT can help individuals with OCPD learn to identify and challenge their maladaptive thoughts, beliefs, and behaviors, and develop more flexible, adaptive ways of thinking and behaving.
Medication: Medications like antidepressants may help manage symptoms such as anxiety and depression that often accompany OCPD.
Relaxation techniques: Relaxation techniques, such as deep breathing exercises, meditation, or yoga can help to manage anxiety and stress, and promote relaxation.
Mindfulness techniques: Mindfulness techniques, such as mindfulness meditation or mindful breathing exercises, can help individuals with OCPD develop greater awareness of their thoughts, feelings, and behaviors, and learn to respond to them in a more flexible and adaptive way.
Self-help strategies: Self-help strategies, such as setting realistic goals, learning to prioritize tasks, and developing better time management skills, can help individuals with OCPD to reduce their perfectionism and work more efficiently.
It is important to note that overcoming OCPD is a process that takes time, patience, and dedication. Seeking the help of a mental health professional and working with them to develop an individualized treatment plan can be a key step toward recovery.
This content is provided for informational and entertainment value only. It is not a replacement for a trained professional's diagnosis or for the treatment of any illness. If you feel like you are struggling with this condition, it is important to seek help from a mental health professional. With the right treatment and support, individuals with this condition can learn to manage their symptoms and lead fulfilling lives. BetterPsych provides full psychological services via telehealth and offers a 100% satisfaction guarantee on our services. For more information and to find a therapist specializing in this disorder, please call (833) 496-5011, or visit https://www.betterpsych.com.