Management of the patient with obsessive compulsive personality disorder

Those with Obsessive Compulsive Personality Disorder are very perfectionistic and aspire to high standards of performance, which translates into meticulous attention to rules, details, procedures, lists, schedules or the form of sentences, so much so that they can commit themselves to every detail of a project to the point of never completing it

They generally have an excessive attachment to work (or study) and productivity and tend to neglect playful activities and friendships.

Patients with OCD (Obsessive Compulsive Personality Disorder) are often very conscientious, scrupulous, and adamant about morality, ethics, or values

They impose themselves, and they impose on others, rigid moral principles and very rigorous standards of performance.

They are stiff and stubborn, and can even be mercilessly self-critical of their own mistakes.

Sometimes those with OCD are unable to throw away used or useless items, even when they have no sentimental value.

They are generally reluctant to delegate tasks or work with others and stubbornly and unreasonably insist that everything be done their way and that people conform to their way of doing things, giving very detailed instructions on how things “should” be done. things.

They tend to be miserly and stingy and to maintain a lower standard of living than their real economic condition, to be sure of being able to provide for future disasters.

Such a style of thinking causes them to do what they should or should do by their rigid internalized standards instead of what they wish to do or what is preferable to do.

From an affective point of view, those with obsessive-compulsive personality disorder are convinced that their emotions and impulses must be controlled in order not to lose their self-esteem or not to harm others. Hence the tendency to repress and rationalize emotions.

These patients are therefore rigid, set; they never let go and live affection in a coerced way.

It is therefore a pervasive disorder, which affects the general functioning of the person, making him inefficient and particularly rigid and boring, to the point of often compromising the quality of his social relationships.

Those who suffer from obsessive compulsive personality disorder are those excessively precise, reliable, punctual, fussy and orderly people who, even in common parlance, are defined as “obsessive”.

People with OCD often, but not always, have symptoms of OCD (which, despite its similar name, is something else entirely), particularly related to controlling, hoarding, or hoarding, order and symmetry.

Treatment of obsessive compulsive personality disorder unfortunately has a not very good prognosis

Cognitive-behavioral treatment in the medium to long term (1 to 2 years) may have some efficacy, but generally the results are slow and incomplete.

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