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Obsessive Compulsive Personality Disorder (OCPD)

Faraz Ghoddusi, MD and Carl Bryce, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Obsessive compulsive personality disorder (OCPD) is a chronic behavioral disorder in which the patient “often exhibit the need for mental and interpersonal control, overconscientious...

DIAGNOSIS

  • Youth

    • OCPD is generally not diagnosed in patients <18 years old.

  • Adults

    • Use DSM-5 diagnostic criteria (listed below).

    • DSM-5 includes 10 personality disorders grouped into three clusters b...

TREATMENT

GENERAL MEASURES

  • Mentalization-based therapy: helps patient through all aspects of care including medication management, nursing care, psychoeducational groups, individual and group psychothe...

ONGOING CARE

Continued use of prescribed medications and therapies 

FOLLOW-UP RECOMMENDATIONS

  • Follow up with psychology if cognitive-behavioral therapy or psychodynamic therapy desired treatment route.

  • I...

REFERENCES

1
Park J, Storch E, Pinto A, et al. Obsessive–compulsive personality traits in youth with obsessive–compulsive disorder. Child Psychiatry Hum Dev.  2016;47(2):281–290. [View Abstract on...

ADDITIONAL READING

  • Bateman A, Ryle A, Fonagy P, et al. Psychotherapy for borderline personality disorder: mentalization based therapy and cognitive analytic therapy compared. Int Rev Psychiatry.  ...

SEE ALSO

International OCD Foundation: http://www.ocfoundation.org 

CODES

ICD10

F60.5 Obsessive-compulsive personality disorder 

ICD9

301.4 Obsessive-compulsive personality disorder 

SNOMED

  • 1376001 Obsessive compulsive personality disorder

  • 473456000 Compulsive personality d...

CLINICAL PEARLS

  • This is a distinct diagnosis independent of OCD.

  • The key features of OCPD include preoccupation with details, perfectionism that interferes with task completion, inflexibility, and poor...

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