Obsessive-Compulsive Personality Disorder By: Roman G. Tejeda

What Is It?  Intense perfectionism and inflexibility manifested in worrying, indecisiveness, and behavioral rigidity  WHAT DOES THIS MEAN??? O_o

Associated Features  Being very work oriented and less time to socialize  Really rigid and have poor interpersonal relationships  Do not have any obsessive thoughts or compulsive behaviors  Wonder if they are not orderliness, so tend to procrastinate  Preoccupied with minor detail that forgets the main purpose of a task

Etiology  Psychosexual Stage  Anal Stage: A fixation in this stage can result to a personality that is too rigid or be really disordered  It’s a fixation that occurs in an early stage of a child's life which is from 18 months - 3 years of age

DSM-IV-TR

Prevalence  Systematic assessment shows the estimates of about 1% in the population  3-10% in individuals presenting to mental health clinics

Treatment  Psychodynamic psychotherapy: Therapist often attack the fear of the need of the orderliness or use distraction technique to redirect the compulsive thoughts  Cognitive- Behavioral Therapy: Focus on the thought processes, may reinforce this ruminative tendency

Prognosis  The rigidness and control of OCPD may prevent many of the complications such as drug abuse, which are common in other personality disorders.  However, the social isolation and difficulty handling anger that are common with this illness may lead to feelings of depression and anxiety later in life.

Reference  A.D.A.M. Medical Encyclopedia.(November 23, 2010). Retrieved from /.  Moore, D.P., Jefferson J.W. (2004). Obsessive- compulsive personality disorder. Philadelphia, Pa. Mosby Elsevier.  First MB. (2000). Diagnostic and statistical manual of mental disorders. Washington, DC. American Psychiatric Association.  First, M.F. (2002). DSM-IV-TR Handbook of Differential Diagnosis. Washington, D.C. American Psychiatrics Association

Discussion Questions  Do you think serial killers would have Obsessive Compulsive Personality Disorder due to the facts given in this presentation?  Would you consider medication for patient with this disorder with the characteristics of being really perfectionism?