A forced personality disorder is characterized by an ever-present concern with neatness, perfection and control (no room for flexibility), which ultimately slows the management of tasks or interfere. Diagnosis is based on clinical criteria. Treatment consists of psychodynamic psychotherapy, cognitive behavioral therapy and SSRI.
(See also personality disorders overview.)
A forced personality disorder is characterized by an ever-present concern with neatness, perfection and control (no room for flexibility), which ultimately slows the management of tasks or interfere. Diagnosis is based on clinical criteria. Treatment consists of psychodynamic psychotherapy, cognitive behavioral therapy and SSRI. (See also personality disorders at a glance.) Because patients must keep with a personality disorder forced control of himself, they tend to stay in their efforts alone, to distrust the help of others. It is estimated that about 2.1% of the population suffer from a compulsion personality disorder; it is more prevalent among men. Familial trains from compulsiveness, limited range of emotion and perfectionism appear to contribute to this disease. Comorbidities may be present. Patients often have a depression (major depression or dysthymia) or alcohol use disorder. Symptoms and signs Symptoms of forced personality disorder can be reduced more than a year, but their long-term persistence has not been studied. In patients with obsessive-compulsive personality disorder affects employment with order, perfectionism and control over themselves and situations, the flexibility, efficiency and openness. Rigid and stubborn in their activities, these patients insist that everything is done in a specific way. To maintain a sense of control, patients focus on rules, details, procedures, schedules and lists. As a result, the main point of a project or activity is lost. These patients check again for errors and have an exceptional attention to detail. You can not divide their time well and often feel the most important things biz end addition. Your preoccupation with details and ensuring that everything is perfect, can delay the completion endless. You do not know how their behavior affects their employees. If they focus on a task, these patients may ignore all other aspects of their lives. Since these patients want to have everything done in a particular way, they find it difficult to delegate tasks and to work with others. When working with others, they can get detailed lists of how a task should be done and be excited when an employee creates an alternative way close. You can also refuse help when they are behind schedule. Patients with obsessive-compulsive personality disorder are dedicated to overly their work and productivity; their commitment is not motivated by financial need. As a result, recreational activities and relationships are neglected. They think that they have no time to relax or go out with friends; you can move a vacation for so long that this does not occur, or they may feel they have to have to take their work so that they do not waste time. The time spent with friends time when it occurs, tends in a formal organized activity to take place (eg. As sports). Hobbies and leisure activities are considered to be important tasks, organization and hard work required to overcome these; the goal is perfection. These patients plan in advance to the last detail and want to take into account any changes. Their relentless stubbornness can frustrate colleagues and friends. The expression of affection is also strictly controlled. These patients can relate with others in a formal, stiff or serious way. Often they talk only after they are sure the perfect thing to say. You can focus on logic and reason and be intolerant of emotional or expressive behavior. These patients may be overzealous, picky and stubborn in matters of morality, ethics and values. Contact rigid moral principles to themselves and others and are extremely self-critical. They are rigid deferential to authorities and insist on strict adherence to rules, with no exceptions for extenuating circumstances. Clinical diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]) found. For a diagnosis of obsessive-compulsive personality disorder, patients must have a persistent pattern of constant preoccupation with order, perfectionism and control over themselves, about others and situations as of ? 4 the following shown: The preoccupation with details, rules, schedules, organization and lists a desire to do something perfect that ending a task impaired. Excessive devotion to work and productivity (not due to financial necessity), which leads to a neglect of leisure activities and friends, excessive conscientiousness, fastidiousness and inflexibility in terms of ethical and moral issues and values ??discard Unwillingness worn or worthless objects, even those without sentimental value to delegate displeasure or to work with other people, unless these people agree to do things just like the patient eswollen greed over to himself and others because they see money as something for future disasters must be saved. Rigidity and tenacity addition, must have begun symptoms in early adulthood. Differential Diagnosis A compulsive disorder should be distinguished from the following personality disorders: Obsessive Compulsive Disorder (OCD): Patients with OCD have real obsessions (cause repetitive, unwanted, intrusive thoughts that strong anxiety) and constraints (ritual behaviors, which they believe that they need to perform them to control their obsessions). Patients with OCD are often troubled by their lack of control over the compulsive drives; the need to control through their employment is driven by order, so that their behavior, values ??and feelings are acceptable and consistent with their self-esteem in patients with obsessive-compulsive personality disorder. Avoidant personality disorder: Both avoided as well as the forced personality disorders are characterized by social isolation; However, the insulation results in patients with obsessive-compulsive personality disorder from the primacy of Labor and productivity rather than on relationships, and these patients distrust others only because of their potential perfectionism of the patient to bother. Schizoid personality disorder: Both schizoid personality disorders as forced and are characterized by an apparent formality in interpersonal relationships and by detachment. However, the motives are different: a basic inability to intimacy in patients with schizoid personality disorder as opposed to complaints related to emotions and dedication to work in patients with obsessive-compulsive personality disorder. Therapy psychodynamic psychotherapy Cognitive behavioral therapy SSRI The general treatment of a forced personality disorder is similar for all personality disorders. The information on the treatment of OCD are sparse. Also complicates her tenacity and her need for control treatment by the stubbornness of the patient, which can be frustrating for the therapist. Psychodynamic therapy and cognitive behavioral therapy can help with positive personality disorder patients. Sometimes interesting, detailed, intellectualized conversation of the patient during therapy appears to be psychologically oriented, but it is free of influence and does not lead to change. SSRIs may be helpful.