Hey everybody!
So today I'm going to talk to you about
O.C.P.D. If you're thinking ,
what does that stand for, it stands for
Obsessive Compulsive Personality Disorder
And we are going
to talk about what it is how we diagnose
and what our treatment options are.
Now, OCPD, because it's a diagnosis, is in
the DSM. And that it what I am reading from for
a lot, and I am also reading from my notes
because I did a lot of research for you.
I'm always doing research for you.
And so, what it says is, that OCPD is "a
pattern of preoccupation with orderliness, perfectionism
and control.
And these desires or patterns of behavior will come
at the expense of flexibility, openness
and efficiency. I know that's a lot.
But let's think about it. So what it's
saying is that OCPD, if I have it,
that means that I spend a lot of time,
I'm totally preoccupied, with things like
orderliness. I probably love to-do lists
I love doing things exactly as I was told
to do them or exactly as I believe
they need to be done.
And you can see why that would come at the
expense of flexibility because I'm
probably not very flexible. Or open to
change, or change of plans. I can't really be spontaneous
And that may be difficult for work
relationships because they said efficiency
is also an issue. I would assume that
will be because I have to do things a
certain way all the time. And also
relationships in my real life-- family,
friends, a spouse, loved ones, all of that
stuff could be a little difficult because
I might be kind of rigid.
So that, in a nutshell, is what OCPD
kind of is and kind of feels like.
But now I'm gonna tell you how we actually
diagnose it. And so I'm gonna read out of
DSM but what it really, what we have to
have is we have to have at least four (4)
or more of the following eight (8)
symptoms, okay? Four or more from the
eight symptoms. Now the first is:
the preoccupation with details, rules, lists, order or organization or schedules
to the extent that the major point of activity is lost.
So that means, like I said, we're so
focused on the details and doing everything
exactly as it's supposed to be to us, that
we lose the actual reason that we're doing it.
Or maybe even the enjoyment of it. I'd
assume board games would be really difficult
because we're so focused on it being done
in a certain way, an exact way, that we can't even
have fun with it.
The second : shows perfectionism that
interferes with task completion. So,
that could mean that I'm writing a report
for work and it's due tomorrow, but I have
to keep rereading it and doing rewrites
over and over and over and I just
can't get it done in time.
I'm late. I missed my deadline. Even though
it technically was done before, I, it's
not done perfect enough.
Number three: Is excessively devoted to
work and productivity, to the exclusion of
leisure activities and friendships. And I
think this is probably what's hardest for
those around us if we struggle with OCPD.
Is that we're so focused on working, and
being productive and doing everything
just right that we won't take time to go
on a hike with friends or catch up
over dinner with that loved one of ours.
Instead we feel like we've gotta get things
done and we've gotta keep going, and that
can be really difficult.
And number four: Is overconscientious
scrupulous, and inflexible about
matters of morality, ethics, or values.
And this is an important caveat to remember,
it also says that it cannot be accounted
for by cultural or religious identification.
So what that really means is, it has
nothing to do with where we are or what we believe in,
church or religion, or whatever.
But we have a very rigid set of morals,
ethics that we've created ourselves , and
we will not bend. It is what it is,
it's how it's supposed to be, and
we're way over conscientious about it.
Things that people would think aren't
um, you know, "bad" or going to be
unethical, we're like, "woah, woah, woah,
woah. That's not okay." So we're, again,
we're very rigid.
And number five, and the one that I
actually found to be the most interesting
was that they are unable to discard worn
out or worthless objects, even when they
have no sentimental value. And the reason
behind this kind of belief is that they
never know when they might need something.
And they don't want to not have what they need
when they need it because they have to
do things just a certain way. And this
is really difficult on spouses and
roommates to these people,
because some of them, kind of appear
like hoarders. Um, pack rats, they keep a
lot of stuff and they'll stash things away
because we don't know when we might need
it.
Now number six, and this one was something
that I, it kind of makes sense based on the
other ones we've already read. But
number six says,
that they are reluctant to delegate
tasks or to work with others unless they
submit to exactly his or her way of doing
things. And now, we can see why this would
happen. If we like things done in an exact
certain way, we may even be late
turning in a report because we have to
keep rewriting it and it needs to be
"perfect," it'd be difficult for us to
relinquish any control to anyone else.
Especially working in group projects. That
would be like our worst nightmare.
And number seven is: adopts a miserly
spending style towards self and others.
Money is viewed as something to be
hoarded for future catastrophes.
ANd I think we're kind of seeing a pattern here,
right? We don't know when we might
need things. And everything we do has to
be done a certain way. And so we don't
want to spend money because
what if we need it later? What if
something happens? And there's this, like,
vein that you can see through all of OCPD
that is like, I have to have things happen
exactly as I want them, and I need to
make sure I have everything I need when
that has to happen. And so,
they tend to be very, very frugal with
spending. And number eight, and I
feel like this one kind of goes without
saying, but, it says , shows rigidity and
stubbornness. They don't want to change.
These people want things to happen exactly
as they want them to happen.
And when they happen the way they want
them to happen, the feel a sense of relief
I remember when I was studying to take my
licensing exam, the way that I remembered
OCD, like I said I have a video about OCD
if you want more information on that, the
difference between OCD and OCPD was that
OCD itself, is ego dystonic. Meaning it
feels really bad to me. I hate it. I hate
that I have to switch this light so many
times or wash my hands or have to have
this, and I, I hate it. I hate counting.
I hate doing it. OCPD is ego syntonic.
They actually, it actually feels better to
them. They like having all of their rules
and having the rigidity. It feels good.
It's some, in some ways a comfort.
Another distinction I want to make, because
I think it's important for us to see the difference,
between OCD and OCPD is that people with
OCPD, what we're talking about in this
video, do not have true obsessions and
compulsions, like those with OCD do.
Like we're talking about, they just have a
rigid way about them. They have a very
strict guideline, like preoccupation with,
like, orderliness and having things happen
this certain way. There isn't generally
just an obsession and a compulsion. Where
it's like I need to wash my hands X number
of times, or, I only like odd numbers or
even numbers, or anything like that. It's
not quite the same and as cut and dry as
OCD is. So now that we know what OCPD is
and how it's diagnosed, I want to talk
with you a little bit about treatment options.
And you'll know that when I've talked about
personality disorders in the past, a lot
of the treatment options seem to be kinda
belak. People will say things, people
will have opinions and say like, oh,
personality disorders, they can never
change, and, you know it's just something that's
gonna follow them for the rest of their lives.
And you know, if you've been watching me
for a while that I don't subscribe to that
belief system. I think the one thing that
they don't take into consideration when
they're talking about treatment is someone's
real inner desire for a better life. Or for their
relationships to be better. Even though
someone with OCPD may feel comfort in having things
orderly and perfect, that doesn't mean that
they're not a human and that they don't feel
maybe bad that their relationships are
suffering. And I don't think that a lot
of the research and a lot of the treatment
options really take that into consideration.
So know that some of the things that
they find to be the most successful, as
far as treatment for OCPD, is group therapy.
And I couldn't agree more. I think sometimes we
feel so lost and hopeless and helpless
that hearing from others that they're going
through something similar can be really
healing and it can also help us learn some
tools and tips and tricks like we share
on our channel, on our community, that will
help us better manage it. So they say
group therapy is best and I also just
read an article about how psychotherapy
can really help because it gives you some
tools and tips to help the symptoms
that you're experiencing. And the ones
that maybe are affecting your relatinships
the most. And so you can focus
in on those and help change those patters
of behavior.
And if any of you have struggled with OCPD
and have some tips and tricks, please leave
it in the comments. Let us know, because
together we're getting better, we're getting stronger
And that's what's so amazing about this channel.
Don't forget to subscribe and I'll see you next Monday. Byeee!
So now that we know what OCPD is, here are
what, here's what we.... bladaladadah.
Hm.
Offscreen voice: Break cut?
Done. Perfect video.
Another important distinction between
Oh sorry, I have got like something really
itching me... Hwoo! Choo! Okay.
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