2021/06/08 OCPD

OCPD


OCPD or Obsessive Compulsive Personality Disorder is something I have dealt with since around the time I was in Middle School. This will be a brief outline of OCPD for future reference to those who are curious about it or for myself if I decide to write more on the topic.

Signs and Symptoms

Obsessions

Rigidity

Perception of ones own and others actions and beliefs tend to be grouped into Right and Wrong, with little or no margin between the two. For people with this disorder, rigidity could place strain on interpersonal relationships, with occasional frustration turning into anger and even varying degrees of violence.

Associated Conditions

OCPD is often confused with OCD. They are two distinct disorders. Some OCPD individuals do have OCD, and the two are sometimes found in the same family, sometimes along with eating disorders. People with OCPD do not generally feel the need to repeatedly perform ritualistic actions a common symptom of OCD and usually find pleasure in perfecting a task, whereas people with OCD are often more distressed after their actions.

There are considerable similarities and overlap between Aspergers syndrome and OCPD, such as list-making, inflexible adherence to rules, and obsessive aspects of Aspergers syndrome, though the latter may be distinguished from OCPD especially regarding affect behaviors, worse social skills, difficulties with Theory of Mind and intense intellectual interests like an ability to recall every aspect of a hobby. Stiff and rigid personalities have been consistently linked with eating disorders, especially with anorexia nervosa, an eating disorder that is characterized by excessive amounts of restriction regarding food intake in fear of gaining weight. Many people who experience this disorder also experience body dis-morphia. Divergences between different studies as to the incidence of OCPD among anorexics and bulimics have been found, which may in part reflect differences in the methodology chosen in different studies, as well as the difficulties of diagnosing personality disorders. People with OCPD often tend to general pessimism or underlying form of depression. This can at times become so serious that suicide is a risk.

Causes

The cause of OCPD is thought to involve a combination of genetic and environmental factors. Under the genetic theory, people with a form of the DRD3 gene will probably develop OCPD and depression, particularly if they are male. But genetic concomitants may lie dormant until triggered by events in the lives of those who are predisposed to OCPD. These events could include parenting styles that are over-involved or overly protective, as well as trauma faced during childhood. Traumas that could lead to OCPD include physical, emotional, or sexual abuse, or other psychological trauma. Under the environmental theory, OCPD is a learned behavior.

Diagnosis

The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders defines OCPD in Axis II Cluster C as an extensive pattern of preoccupation with perfectionism, orderliness, and interpersonal and mental control, at the cost of efficiency, flexibility and openness.

Symptoms must appear by early adulthood and in multiple contexts. At least four of the following should be present...

The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders a person has to meet all of the following conditions for diagnosis...

A.Significant impairments in personality functioning manifest by:

B. Pathological personality traits in the following domains

C. The impairments in personality functioning and the individuals personality trait expression are relatively stable across time and consistent across situations.

D. The impairments in personality functioning and the individuals personality trait expression are not better understood as normative for the individuals developmental stage or socio-cultural environment.

E. The impairments in personality functioning and the individuals personality trait expression are not solely due to the direct physiological effects of a substance or a general medical condition.

Prevalence

Estimates for the prevalence of OCPD in the general population range from 2.1% to 7.9%. Men are diagnosed with OCPD about twice as often as women.

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