What is Obsessive Compulsive Personality Disorder?
The main features of Obsessive Compulsive Personality Disorder (OCPD) is a preoccupation with orderliness, perfectionism (around anything from cleanliness to order) at the expense of flexibility, openness, and efficiency, regardless of the impact on others.

Individuals with OCPD attempt to maintain control with painstaking attention to rules, trivial details, lists and procedures to the extent that the major point of the activity is often lost, often becoming inflexible.   They become oblivious to the fact that other people will often become annoyed at the extent they perform tasks and the delays caused, often believing the other person may be wrong for not working to the same perceived standard.

The inflexibility can also impact on areas of morality, ethics and values, forcing themselves and others to follow very rigid moral principles. OCPD is one of the most prevalent personality disorders in the general population, with estimated prevalence ranging from 2% to 8%. Some studies suggest that Obsessive-Compulsive Personality Disorder is more common in males.

How does OCPD differ from OCD?
Individuals with anxiety disorders like OCD, may have an increased likelihood of having a personality that meets some criteria for Obsessive-Compulsive Personality Disorder. Despite this individuals with OCD do not have a pattern of behavior that would usually meet the criteria for OCPD. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) specifies the following difference in diagnosing OCD and/or OCPD:

– Despite the similarity in names, OCD is usually easily distinguished from obsessive-compulsive personality disorder by the presence of true obsessions and compulsions in OCD. When criteria for both obsessive-compulsive personality disorder and OCD are met, both diagnoses should be recorded.
– Much of the difference is based around how much insight the person suffering has. Whilst people with OCD usually have sufficient insight that OCD is causing their behavior, and accept they need to change, people with OCPD usually have little, if any, insight into their behaviors, rituals and thinking needing to change.  Typically, people with OCD know they need help and will usually want treatment, but people with OCPD typically believe they don’t require treatment.

Significantly, whereas with OCD, the thoughts, beliefs and behaviors (obsessions and compulsions) are because of feared consequences that feel very real; which often interfere in several areas of the person’s life including work, social and/or family life.  With OCPD, the problem is much more about rigidity around rules rather than perceived consequences and will usually interfere with certain tasks.  Interpersonal relationships will often suffer, with co-workers, or even employer relationships becoming strained because of set rules having to be adhered to at work. Equally at home, family members of people with OCPD can often feel extremely criticized and controlled which can be frustrating and upsetting and often lead to conflict