Obsessive-compulsive personality disorder (OCPD) is a personality disorder characterized by excessive perfectionism and a need for control over one's environment. People with OCPD tend to be reliable and orderly, but also inflexible and unable to surrender control.
It is not clear what causes personality disorders, but it is likely a combination of inherited factors and a person's environment.
OCPD is more common in men, especially in early adulthood. Other factors that may increase your chance of OCPD include: Family history of OCPD or obsessive-compulsive disorder (OCD)Background of harsh disciplineBeing the oldest child
OCPD may cause: Perfectionism interfering with task completionRigidityBeing frugal with moneyOverattention to detailExcessive devotion to workInability to discard worn or useless itemsExtreme moralityInability to delegate tasks or shareStiff, formal, and/or rigid mannerismsExtreme preciseness and/or punctuality
You will likely be referred to a psychiatrist or therapist, who will ask you about your symptoms and mental and medical health history. A diagnosis will be made after a complete psychiatric assessment.
Talk with your doctor about the best treatment plan for you. Treatment options include:
Counseling that includes psychotherapy or
can help people with OCPD learn to have fun, avoid over-intellectualizing, and address control issues.
In some cases, antidepressant medications can help reduce obsessive-compulsive personality traits. However, long-term use of medications for OCPD has not been helpful. Antidepressants may also be used to treat an associated condition, like
There are no current guidelines to prevent OCPD. Early diagnosis and treatment can reduce how much the personality traits interfere with your life.
Obsessive compulsive personality disorder (OCPD). International OCD Foundation website. Available at:
http://www.ocfoundation.org/uploadedfiles/maincontent/find_help/ocpd%20fact%20sheet.pdf. Accessed August 21, 2014.
Last reviewed September 2016 by Michael Woods, MD, FAAP
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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