Obsessive-Compulsive Personality Disorder
A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:
- is preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost
- shows perfectionism that interferes with task completion (e.g., is unable to complete a project because his or her own overly strict standards are not met)
- is excessively devoted to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity)
- is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification)
- is unable to discard worn-out or worthless objects even when they have no sentimental value
- is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things
- adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes
- shows rigidity and stubbornness
- Depressed Mood
- Somatic or Sexual Dysfunction
- Guilt or Obsession
- Anxious or Fearful or Dependent Personality
Some 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.
- Obsessive-Compulsive Disorder;
- Narcissistic Personality Disorder;
- Antisocial Personality Disorder;
- Schizoid Personality Disorder;
- Personality Change Due to a General Medical Condition;
- Symptoms that may develop in association with chronic substance use.