This document provides information on obsessive-compulsive personality disorder (OCPD) in 4 parts: 1. Introduction - OCPD is characterized by perfectionism and inflexibility. It affects 1-2% of the population. 2. Prevalence - Men are more likely to be affected than women. Those with higher education are also more likely. Comorbidity with mood/anxiety disorders is common. 3. Diagnostic Criteria - To be diagnosed requires 4 of 7 criteria related to perfectionism, orderliness, mental/interpersonal control, rigidity, and reluctance to delegate. 4. Management - Cognitive-behavioral therapy may help reduce perfectionism. Psychodynamic psychotherapy

1. OCPDF A T M A H A L I

2. 1 INTRODUCTION
2 PREVELANCE
3 D X C R I T E R I A
4 MANAGEMENT

3. PART01I N T R O D U C T I O N

4. 01 INTRODUCTION

5. ANIXIETY
Fearfulness
Constriction
Common defense mechanisms:
isolation, avoidance, hypochondriasis
01 CLUSTER C CORE TRAIT

6. http://www.docer.com/稻壳儿
OCPDObsessive-compulsive personality
disorder is characterized by
perfectionism and inflexibility
associated with:
overconscientiousness
constricted emotions
01 INTRODUCTION

7. PART02P R E V E L A N C E

8. 1 – 2 %
02 PREVELANCE

9. Men are two times more likely to have OCPD than women.
01 Epidemiology

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Unlike other personality disorders,
this disorder appears to be more
common in those with higher levels
of education and those in higher
income brackets. Comorbidity with
mood and anxiety disorders is
frequent.
02 PREVELANCE

11. PART03DIAGNOSTIC CRITERIA

12. perfectionism that interferes
with task completion
Excludes leisure due to devotion
to work
Inflexible in matters of morality,
ethics, values
Rule/detail obsessed
unable to discard worthless objects
reluctant to work with others
01 DIAGNOSTIC CRITERIA
preoccupation with orderliness, perfectionism,
and mental and interpersonal control,
indicated by four (or more) of the following:
Miserlyrigidity and stubbornness.

13. DDx:
Obsessive-compulsive disorder (OCD)
Narcissistic personality disorder
03 DIFFERENTIAL DIAGNOSIS

14. Os/Cs/or both
Happy for others
to take over
Excessive time taken up
due to compulsions
* Orderliness
* Mental and interpersonal control
*Rigidity
*Perfectionism
Perfectionism interferes
with task completion
03 OCD Vs. OCPD ?
Reluctant to delegate
Miserly/ unable to discardNot features of OCD
ego-syntonicego-dystonic
Tend to remain the sameVary in severity over time

15. Unpredictable course.
Some patients can have
comorbid OCD (most do not).
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03 COURSE

16. PART04M A N A G E M E M T

17. may be helpful in
reducing the need for
perfectionism and the
unnecessary ritualizing.
SSRI
psychodynamic
psychotherapy
(treatment of choice)
these individuals understand that the
world is not made up of clearly
defined black and white lines of
rigidly held beliefs!
Cognitive-behavioral
therapy
04 MANAGEMENT

18. OCPD is a personality
disorder prevalent in the
general population (3–8 %)
that is more common in
older and less educated
individuals.
Diedrich, A. & Voderholzer, U. Curr
Psychiatry Rep (2015) 17: 2.
As hypothesized, unique
associations were
identified; higher rigid
perfectionism, lower
perseveration, and higher
deceitfulness were
uniquely associated with
restriction type AN.
van Broekhoven, K.E.M., Karreman, A.,
Hartman, E.E. et al. Arch Womens Ment
Health (2018).
Orthorexia nervosa may share
characteristics with OCPD.
(Koven & Abry, 2015)
01 UPDATES

19. ?
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04 Any Questions ?

20.  Introductory Textbook of
Psychiatry 6th Ed
 Kaplan and Sadock’s Synopsis of
Psychiatry
04 REFERENCES

21. THANKS