early adult life, preoccupation with control, orderliness and perfection
overshadow qualities of efficiency, flexibility and candor. These
behaviors are present in a variety of situations and shown by at
least 4 of:
Is absorbed with
details, lists, order, organization, rules or schedules to such an
extent that the purpose of the activity is lost ("can't see the
forest for the trees").
a degree that interferes with completing the task.
Is a workaholic (works
to exclusion of leisure activities).
to a degree out of
keeping with cultural or religious influence, is overly conscientious,
inflexible or scrupulous about ethics, morals or values.
Saves worthless items
of no real or sentimental value.
Won't cooperate or
delegate tasks unless others agree to do things the patient's way.
Is stingy toward
self and others; hoards money against future need.
Is rigid and stubborn.
disorders have similar or even the same symptom. The clinician, therefore,
in his diagnostic attempt has to differentiate against the following
disorders which he needs to rule out to establish a precise diagnosis.
These are growing
evidence that Obsessive Compulsive Disorder or OCD has a neurobiological
basis. It is no longer attributed to family problems or to attitudes
learned in childhood. Neuro scans show that patients with OCD have
a set pattern of brain activity that differs from people with no mental
There is no specific
treatment; however, therapy or counseling may be of value.
and Psychotherapy [ See
Therapy Section ]:
will be most likely to be beneficial when the patient's current support
system and coping skills are examined. Those skills which are not
currently working could be reinforced with additional skill sets.
Social relationships can also be examined, reinforcing strong, positive
relationships while having the client re-examine negative or harmful
relationships. One important aspect is to try and have the individual
examine and properly identify their feeling states, rather than just
intellectualizing or distancing themselves from their emotions. This
can be accomplished through a variety of techniques, such as feeling
identification (e.g., the "feeling faces") at the onset
of every therapy session. Homework might include writing feelings
down in a journal, especially as they notice them. Proper identification
and realization of feelings can bring about much change in and of
from obsessive-compulsive personality disorder often are not in touch
with their emotional states as much as their thoughts. Leading the
client away from describing situations, events, and daily happenings
and to talking about how such situations, events and daily happenings
made them feel may be helpful. Sometimes the patient may complain
he or she doesn't remember or know how he or she felt at the time;
the journal becomes a useful tool at this point.
Psychopharmacology Section ] :
In most cases,
medication for this disorder is not indictated unless the individuals
is also suffering from a clearly delineated Axis I diagnosis as well.
However, newer medications such as Prozac, an SRRI, have been approved
for the treatment of obsessive-compulsive disorder and may provide
some relief to individuals with the personality disorder. Long-term
use, though, is rarely indicated, appropriate, or beneficial.
Compulsive Personality Disorder Links