Difference between revisions of "Obsessive-compulsive personality disorder"

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==See Also==
 
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==External Links==
 
==External Links==

Revision as of 10:59, 6 November 2016

Background

A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency

Clinical Features

  • Four (or more) of the following criteria, beginning by early adulthood and present in a variety of contexts:[1]
    • 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.

Differential Diagnosis

  • Obsessive-compulsive disorder
  • Hoarding disorder
  • Other personality disorders
  • Personality change due to another medical condition
  • Substance use disorders

Evaluation

A clinical diagnosis; however if entertaining other organic causes may initiate workup below

General ED Psychiatric Workup

Management

Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment.

Disposition

Home

See Also

External Links

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.