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Obsessive Compulsive Personality Disorder (OCPD)

Gemma Kim, MD, Tae K Kim, MD and Kristina Tabila-Guglielmi, Masters Public Health, Medical doctor Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Personality disorders include 10 disorders grouped into three clusters (A, B, and C) based on similar personality traits.

  • Obsessive-compulsive personality disorder (OCPD) has cluster ...

DIAGNOSIS

  • OCPD is generally not diagnosed in patients <18 years old, as personality maturation may not complete before adulthood.

  • Use DSM-5 diagnostic criteria.

HISTORY

Patients present with externali...

TREATMENT

GENERAL MEASURES

  • Due to the ego-syntonic characteristics and behaviors of OCPD (e.g., perfectionism, inflexibility, and the associated need for independence and control), affected individuals...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

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

  • If prescribing SSRI, follow-up in 6 weeks to rev...

REFERENCES

1
Diedrich A, Voderholzer U. Obsessive-compulsive personality disorder: a current review. Curr Psychiatry Rep. 2015;17(2):2.
2
Volkert J, Gablonski TC, Rabung S. Prevalence of personality diso...

SEE ALSO

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

CODES

ICD10

F60.5 Obsessive-compulsive personality disorder 

SNOMED

  • 1376001 Obsessive compulsive personality disorder

  • 473456000 Compulsive personality disorder

  • 473457009 Obsessional personality disorder

CLINICAL PEARLS

  • OCPD is a distinct diagnosis independent of OCD. Those with OCPD are fixated on following rules and procedures and feel that they are correct. Those with OCD have insight and realize t...

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