Obsessive-compulsive personality disorder

Obsessive-compulsive personality disorder (OCPD) is a personality disorder characterized by a general pattern of concern with orderliness, perfectionism, excessive attention to details, mental and interpersonal control, and a need for control over one's environment, at the expense of flexibility, openness to experience, and efficiency.

People affected with OCPD may find it hard to relax, always feeling that time is running out for their activities, and that more effort is needed to achieve their goals.

OCPD is a distinct disorder from obsessive-compulsive disorder (OCD). Hoarding, orderliness and a need for symmetry and organization are often seen in people with either disorder. Attitudes towards these behaviors differ between people affected with either of the disorders: For people with OCD, these behaviors are unwanted and seen as unhealthy, being the product of anxiety-inducing and involuntary thoughts, while for people with OCPD they are egosyntonic ( that is, they are perceived by the subject as rational and desirable), being the result of, for example, a strong adherence to routines, a natural inclination towards cautiousness, or a desire to achieve perfection.

The main symptoms of OCPD are preoccupation with remembering and paying attention to minute details and facts, following rules and regulations, compulsion to making lists and schedules, and rigidity/inflexibility of beliefs or showwing perfectionism that interferes with task completion. Symptoms may cause exteme distress and interfere with a person's occupational and social functioning. Most people spend their early life avoiding symtoms and developing techniques to avoide dealing with these strenuous issues.

People with OCPD are three times more likely to receive individual psychotherapy than people with major depressive disorder. Men are diagnosed with OCPD about twice as often as women. A large U.S. study found a prevalence rate of 7.9%, making it the most common personality disorder.

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