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by Scholten A
(Anankastic Personality Disorder)

Definition

Obsessive-compulsive personality disorder (OCPD) is a condition where people are obsessed with rules, order, and control. It can lead to problems in other areas of life, such as work.

Causes

It is not clear what causes personality disorders. It is likely due to genes and a person's environment.

Risk Factors

OCPD is more common in men, especially young adults. Other things that raise the risk are:

Symptoms

OCPD may cause:

  • Excessive focus on details and correctness
  • Problems completing tasks
  • Behavior that is stiff, formal, or rigid
  • Thrift with money
  • Excessive working
  • Inability to throw out worn or useless items
  • Inability to share tasks

Diagnosis

A doctor or therapist will ask about your symptoms, health, and mental health. Diagnosis of OCPD is based on a complete assessment.

Treatment

The goal is to reduce the unwanted behaviors. Options may be:

Prevention

There are no current guidelines to prevent OCPD. Early treatment can lead to better outcomes.

RESOURCES

Mental Health America  http://www.mentalhealthamerica.net 

National Institute of Mental Health  https://www.nimh.nih.gov 

CANADIAN RESOURCES

Canadian Mental Health Association  https://cmha.ca 

Canadian Psychiatric Association  http://www.cpa-apc.org 

References

Lei H, Huang L, et al. Altered spontaneous brain activity in obsessive-compulsive personality disorder. Compr Psychiatry. 2020;96:152144.

Obsessive compulsive disorder (OCD). EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/obsessive-compulsive-disorder-ocd. Accessed March 10, 2021.

Obsessive compulsive personality disorder (OCPD). Merck Manual Professional Version. Available at: http://www.merckmanuals.com/professional/psychiatric-disorders/personality-disorders/obsessive-compulsive-personality-disorder-ocpd. Accessed March 10, 2021.

Obsessive-compulsive personality disorder symptoms. Psych Central website Available at: https://psychcentral.com/disorders/obsessive-compulsive-personality-disorder-symptoms. Accessed March 10, 2021.

Revision Information

  • Reviewer: EBSCO Medical Review Board Adrian Preda, MD
  • Review Date: 01/2021
  • Update Date: 03/10/2021