The PMHNP considers that Darius may have obsessive compulsive personality disorder (OCPD).
Answer: obsessive compulsive personality disorder
Darius is a 26 year old male who presents for care as part of couple therapy with his wife, who is being seen for dependency issues. Darius himself seems very anxious to ?do the right thing? and appears to want to please the therapist. During the evaluation, Darius is impeccably dressed, very formal in his presentation and interaction, and is watchful of time because he has an appointment after the interview and states several times that he cannot be late. obsessive compulsive personality disorder
Darius has many symptoms of OCD. He always wants to be on time for appointments and even apologizes for being late this morning. When talking about himself or about anything he would not touch something unless he had washed and disinfected his hands. I was amazed when I saw that he had tried several food items from the local restaurant, which by society standards is typical however could also be a manifestation of high levels of contamination fears due to his OCD.
Darius is cheerful and eager to please, with the desire to be organized and structured in his life. He is a very typical case of OCPD and shares many similarities to the character of Asperger in Tom Cruise’s movie ?Rain Man.?
Just when Darius thinks he has fixed what was once wrong now it?s time to fix something else. This could be because he has feelings of being in control, or that he wants to please people. Darius is hard on himself, always striving to do things right, and can never pass a test as long as there is another one to take.
OCPD is a chronic and pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency.obsessive compulsive personality disorder
OCPD is a personality disorder that is characterized by perfectionism, attention to details, rule-following, and control of one’s behaviors and that of other people. In Texas, Darius has done an obsessive cleaning after an animal disease broke out in his hometown. Also during training observations on a psychiatry ward, he repeatedly tried to force the patients to speak while they were mute and non-verbally communicating. He was also found to be “enhance his treatment outcomes.”
OCD involves the individual’s excessive and irrational worry, anxiety and doubts about his/her actions and possible negative consequences. PMHNP wishes to highlight the distinction between OCD and OCPD. The problems of the former compared to the latter are as follows:
OCPD is a lifelong personality disorder characterized by inflexibility, stubbornness, and preoccupation with details. Patients with OCPD have insidious onset, subtle features, and limited insight; these features make it difficult for clinicians to diagnose and treat the condition. obsessive compulsive personality disorder
OCD can be characterized by the presence of recurrent, unwanted thoughts and impulses (obsessions) and/or repetitive behaviours (compulsions), that are excessive and distressing and cause impairments in functioning.
The main features that the nurse examined before making this diagnosis were: an obsession with having everything perfect, an aversion of dirt and mess, cleanliness and orderliness, extreme attention to detail and being inflexible. It was noted that these symptoms have not caused a significant problem for Darius in his day-to-day functioning.
Question: obsessive compulsive personality disorder
Darius is a 26-year-old male who presents for care as part of couple therapy with his wife, who is being seen for dependency issues. Darius himself seems very anxious to ?do the right thing? and appears to want to please the
therapist. During the evaluation, Darius is impeccably dressed, very formal in his presentation and interaction, and is watchful of time because he has an appointment after the interview and states several times that he cannot be late.
The PMHNP considers that Darius may have obsessive compulsive personality disorder (OCPD). In differentiating this from obsessive compulsive disorder (OCD), she explores his history further for: