Obsessive–compulsive personality disorder is a cluster C personality disorder marked by a spectrum of obsessions with rules, lists, schedules, and order, among other things. Symptoms are usually present by the time a person reaches adulthood, and are visible in a variety of situations.
The authors reported that all of the DSM-5 OCPD criteria (i.e., maladaptive preoccupation with details, perfectionism, excessive devotion to work, over-conscientiousness, inability to discard things, reluctance to delegate the tasks, miserliness, and rigidity) fell in the ICD-11 domain of anankastia.
Obsessive-compulsive (Anankastic) Personality Disorder: A Poorly Researched Landscape with Significant Clinical Relevance - PMC.
noun. an·an·kas·tic. variants or anancastic. ˌan-(ˌ)an-ˈkas-tik. : of, relating to, or arising from compulsion especially in an obsessive or compulsive neurosis.
Individuals with OCPD will often intellectualize their emotions and rely overly on logic to deal with situations and other people, forgetting the role emotion may play in interpersonal situations. They display restricted affect and a lack of empathy.
OCPD can manifest differently in different people, depending on which symptoms are present. Typically, symptoms of OCPD are maladaptive versions of behaviors that might otherwise be quite helpful and adaptive. Left untreated, OCPD can become worse with age.
Etymology. Borrowed from Ancient Greek ἀναγκαστικός (anankastikós), from ἀνάγκη (anánkē, “force, necessity”).
OCPD and narcissism are also often closely correlated. Both conditions are personality disorders, which have overlapping traits such as a commitment to perfection and a belief that others are less capable of doing things the correct way.
Attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD) are two different mental health conditions. OCD involves obsessive thoughts while ADHD makes it hard to focus and involves hyperactivity and impulsivity.
Emotional Regulation Disorder and Emotional Intensity Disorder are more accurate terms because they reflect the real symptoms associated with the disorder: emotional dysregulation, impulsive behavior, and cognitive dysregulation.
F60. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2023 edition of ICD-10-CM F60. 5 became effective on October 1, 2022.
OCD is an anxiety disorder in which you have frequent unwanted and intrusive thoughts (obsessions) that cause you to perform repetitive behaviors (compulsions). Examples of compulsions include flipping a light switch a certain number of times or repeatedly washing your hands.
People with OCPD can have difficulty managing their emotions, particularly when their routines or order are disrupted. This can lead to getting upset, anger, or outbursts. People with OCPD may be reluctant to seek help for their condition because they don't recognize that something is wrong.
How Does OCPD Affect Relationships? Many with OCPD can struggle with romantic relationships as their symptoms may create a situation where both partners' anxieties become exaggerated and they become afraid to be close to the other.
People with obsessive-compulsive personality disorder (OCPD) have a fixation with perfection, control, and orderliness. Their preoccupation is severe enough to lead to impairment. Picture a student who is so focused on small details that they fail to complete an assignment.
OCPD traits include preoccupation and insistence on details, rules, lists, order and organisation; perfectionism that interferes with completing tasks; excessive doubt and exercising caution; excessive conscientiousness, as well as rigidity and stubbornness.
The Authoritarian Personality Type
Authoritarians, like individuals with OCPD, display rigidity, concrete thinking, orderliness, and a preoccupation with routine as well as a need to follow rules. These individuals are generally emotionally cut-off, selfish, and antagonistic.
Despite the traditional categorical focus on personality disorders as lifelong enduring conditions, it is unlikely that OCPD is present “at birth”; rather, it likely develops over time, being present along a continuum from zero symptoms, to some symptoms, to full diagnostic symptoms (i.e. diagnostic criteria met).
Some risk factors that may make you more susceptible to developing OCPD include: A family history of personality disorders, anxiety, or depression. Childhood trauma, including child abuse that leaves you feeling like being 'perfect' is the only way to survive.
OCD is ruled by intrusive thoughts called, obsessions that cause anxiety and force the person to perform compulsions for relief. OCPD is ruled by perfectionism and detail. Unlike individuals with OCD, people with OCPD are not self-aware and can hurt the people around them.
The onset of OCD is not limited to the original meaning of trauma; rather, traumatic experiences such as unexpected exposure to contaminants or various stressful life events often cause the onset of OCD.
OCPD traits overlap strongly with ASD traits and indicate a high likelihood of comorbid ASD that is usually missed by clinicians. However, ASD is also common in OCD even in the absence of OCPD.
It is said that people who have traits that are consistent with OCPD might have a divorce rate that is higher than average couples - even as high as 90 percent! The reason is that there isn't enough educational material out there in order for couples to better understand each other.