In simple words: OCPD is a mental health condition where someone is extremely focused on rules, order, and perfection. This can make it hard for them to finish tasks, relax, or have close relationships.They may work too much and have trouble letting go of things. Treatment involves therapy and sometimes medication.

Obsessive-compulsive personality disorder (OCPD), also referred to as anankastic, compulsive, or obsessional personality disorder, is a mental disorder characterized by a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control at the expense of flexibility, openness, and efficiency.Individuals with OCPD exhibit rigidity in their thinking and behavior, excessive devotion to work, and an inability to discard worthless objects. They struggle with delegating tasks and are often inflexible in their moral and ethical codes.Diagnosis is based on clinical interview, history, and comparison of symptoms to DSM-5 criteria. Treatment typically involves cognitive behavioral therapy (CBT), medication (such as SSRIs to manage associated anxiety), and relaxation techniques.

Example 1: A 40-year-old male patient presents with complaints of excessive workaholism, inability to delegate tasks, and strained relationships due to his rigid adherence to rules and perfectionism.He struggles to meet deadlines and experiences significant anxiety when things deviate from his strict routines. , A 35-year-old female patient is referred for evaluation of OCPD after repeatedly missing deadlines at work due to her meticulous attention to detail, significantly impairing work efficiency. She struggles to discard possessions, leading to clutter at home and interpersonal conflict., A 55-year-old male patient is diagnosed with OCPD after exhibiting inflexible moral principles, difficulty making decisions, and a rigid adherence to rules. His reluctance to compromise and frequent arguments have led to social isolation.

Comprehensive psychiatric evaluation, including detailed history, mental status examination, symptom assessment using validated scales (e.g., the Structured Clinical Interview for DSM-5 or the Millon Clinical Multiaxial Inventory), and collateral information from family members or significant others.Documentation should clearly support the diagnosis according to DSM-5 criteria and outline the treatment plan, including therapy modality and medication used (if any). Progress notes should reflect treatment response and any changes made to the plan.

** OCPD should be differentiated from obsessive-compulsive disorder (OCD). OCPD is a personality disorder characterized by pervasive traits, while OCD is an anxiety disorder characterized by intrusive thoughts and compulsions.Consider the use of other codes for co-occurring conditions.