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Obsessive-compulsive personality disorder - Symptom

Alternative Names

Personality disorder - obsessive-compulsive

Symptoms:

OCPD has some of the same symptoms as obsessive-compulsive disorder (OCD). However, people with OCD have unwanted thoughts, while people with OCPD believe that their thoughts are correct.

People with both OCPD and OCD tend to be 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. Instead, people with OCPD experience feelings that they consider more appropriate, like anxiety or frustration.

A person with this personality disorder has symptoms of perfectionism that usually begin in early adulthood. This perfectionism may interfere with the person's ability to complete tasks, because their standards are so rigid.

People with this disorder may emotionally withdraw when they are not able to control a situation. This can interfere with their ability to solve problems and form close relationships.

Some of the other signs of obsessive-compulsive personality disorder include:

  • Excess devotion to work
  • Inability 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

Signs and tests:

OCPD can be diagnosed by an experienced mental health professional (psychiatrist or psychologist) with an evaluation. Psychological tests that may help diagnose this condition include:

  • The Structured Clinical Interview for DSM IV Disorders (SCID II)
  • The Schedule for Non-Adaptive and Adaptive Personality (SNAP)
  • Reviewed last on: 11/23/2010
  • Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Michelle Benger Merrill, MD, Instructor in Clinical Psychiatry, Department of Psychiatry, Columbia University Medical Center, New York, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Moore DP, Jefferson JW. Obsessive-compulsive personality disorder. In: Moore DP, Jefferson JW, eds. Handbook of Medical Psychiatry. 2nd ed. Philadelphia, Pa: Mosby Elsevier; 2004: chap 142.

First MB. Personality disorders. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC:American Psychiatric Association; 2000.

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