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Author: Michael Jibson, M.D., Ph.D., 2009

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Obsessive Compulsive
          Personality Disorders
         M2 Psychiatry Sequence



Michael Jibson
Fall 2008
Cluster C Personality Disorders
                                  

Obsessive Compulsive Personality 
Disorder
•  A pattern of preoccupation with
  orderliness, perfectionism, and
  control. (DSM-IV)
Obsessive Compulsive Personality Disorder




     American Psychiatric Association: Diagnostic and Manual of Mental Disorders, 4th ed, Text Revision (DSM-IV-TR)
Obsessive Compulsive Personality Disorder


            Clinical Vignettes
Obsessive Compulsive Personality 
Disorder
•  Prevalence: 1% of population
•  Sex ratio: M:F=2:1
•  Comorbidity: Slight increase in mood and
   anxiety disorders
•  Family: Obsessive-compulsive personality
   disorder
Obsessive Compulsive Personality Disorder

Treatment
  • Psychotherapy - Psychoanalytic,
    behavioral, and group therapies are
    often useful
  • Medication - Serotonin-specific reuptake
    inhibitor (SSRI) antidepressants may be
    useful
Obsessive Compulsive Personality Disorder

Physician-patient Interaction
  • Thorough explanations and specific,
    detailed information are valued
  • Uncertainty is rarely tolerated
  • Treatment options should be presented
    with clear risk-benefit analyses
Additional Source Information
                                    for more information see: http://open.umich.edu/wiki/CitationPolicy

Slide 5: American Psychiatric Association: Diagnostic and Manual of Mental Disorders, 4th ed, Text Revision (DSM-IV-TR), Washington, DC, American Psychiatric
   Association, 2000, p. 729

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Treating Obsessive Compulsive Personality Disorder

  • 1. Author: Michael Jibson, M.D., Ph.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Share Alike 3.0 License: http://creativecommons.org/licenses/by-sa/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact open.michigan@umich.edu with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.
  • 2. Citation Key for more information see: http://open.umich.edu/wiki/CitationPolicy Use + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain – Government: Works that are produced by the U.S. Government. (17 USC § 105) Public Domain – Expired: Works that are no longer protected due to an expired copyright term. Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons – Zero Waiver Creative Commons – Attribution License Creative Commons – Attribution Share Alike License Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License GNU – Free Documentation License Make Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (17 USC § 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (17 USC § 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
  • 3. Obsessive Compulsive Personality Disorders M2 Psychiatry Sequence Michael Jibson Fall 2008
  • 4. Cluster C Personality Disorders Obsessive Compulsive Personality Disorder •  A pattern of preoccupation with orderliness, perfectionism, and control. (DSM-IV)
  • 5. Obsessive Compulsive Personality Disorder American Psychiatric Association: Diagnostic and Manual of Mental Disorders, 4th ed, Text Revision (DSM-IV-TR)
  • 6. Obsessive Compulsive Personality Disorder Clinical Vignettes
  • 7. Obsessive Compulsive Personality Disorder •  Prevalence: 1% of population •  Sex ratio: M:F=2:1 •  Comorbidity: Slight increase in mood and anxiety disorders •  Family: Obsessive-compulsive personality disorder
  • 8. Obsessive Compulsive Personality Disorder Treatment • Psychotherapy - Psychoanalytic, behavioral, and group therapies are often useful • Medication - Serotonin-specific reuptake inhibitor (SSRI) antidepressants may be useful
  • 9. Obsessive Compulsive Personality Disorder Physician-patient Interaction • Thorough explanations and specific, detailed information are valued • Uncertainty is rarely tolerated • Treatment options should be presented with clear risk-benefit analyses
  • 10. Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicy Slide 5: American Psychiatric Association: Diagnostic and Manual of Mental Disorders, 4th ed, Text Revision (DSM-IV-TR), Washington, DC, American Psychiatric Association, 2000, p. 729