OCD Related Conditions OCPD vs. OCD: What's the Difference? By Owen Kelly, PhD Owen Kelly, PhD Owen Kelly, PhD, is a clinical psychologist, professor, and author in Ontario, ON, who specializes in anxiety and mood disorders. Learn about our editorial process Updated on October 12, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Verywell / Laura Porter Table of Contents View All Table of Contents What Is OCPD? Symptoms Diagnosis OCPD vs. OCD Causes Risk Factors Treatment Coping OCD and OCPD share some similarities, but they are distinct conditions that differ in important ways. OCD is characterized by intrusive thoughts that then compel a person to engage in behaviors to relieve feelings of distress and anxiety. This can be contrasted with OCPD, marked by excessive attention to detail and perfectionism. The primary difference is that OCD includes obsessions/compulsions, while OCPD does not. What Is Obsessive-Compulsive Personality Disorder? Obsessive-compulsive personality disorder (OCPD) is defined by strict orderliness, control, and perfectionism. Someone with OCPD will likely try to stay in charge of the smallest details of their life, even at the expense of their flexibility and openness to new experiences. OCPD is a personality disorder, which means it involves personality traits that are stable, long-held, atypical, and problematic in some way. In the case of OCPD, people with this condition may find it hard to relate to others, and their devotion to perfectionism and rigid control can make it difficult to function. Other personality disorders in this category include narcissistic personality disorder, histrionic personality disorder, and borderline personality disorder. OCPD is not the same as narcissism, however. People with OCPD dwell on doing things perfectly, while people with narcissistic personality disorder have an exaggerated sense of grandeur and believe they should receive constant praise and attention. OCPD is not the same as obsessive-compulsive disorder (OCD). It is also not a type of OCD. In the Diagnostic and Statistical Manual of Mental Disorders, 5th ed (DSM-5-TR), OCD is organized in its own category of mental conditions called "Obsessive-Compulsive and Related Disorders." This article discusses the symptoms of OCPD and how to distinguish between OCPD vs. OCD. It also covers how OCPD is diagnosed, what causes it, and how it is treated. Symptoms of OCPD The primary symptoms of OCPD focus on an obsession with perfectionism and a need for control. Someone with OCPD may experience symptoms like: Acting restrained or restricted with their emotions Adherence to rules in an inflexible, rigid way Creating order and lists for tasks Desire to control their relationships with others Difficulty empathizing with others and/or maintaining intimate relationships Extreme dedication to their work Having trouble giving things to others Need for perfection even in the smallest details Problems with self-identity and/or self-direction Trouble giving up control and delegating tasks At first glance, OCPD may seem similar to an anal personality type. While someone with an anal personality might share some of these traits, like perfectionism, orderliness, and a need to be in control of their environment, having these quirks isn't the same thing as having a personality disorder. Diagnosis of OCPD There is no specific test that can determine if a person has OCPD. In order to make a diagnosis, a clinician will ask questions about your symptoms and the effect they have on your life. They may also conduct lab tests and a physical exam to help rule out other conditions. In order to be diagnosed with OCPD, a person must exhibit a persistent pattern of preoccupation with perfectionism, order, and control of the self, situations, and others. It must also be accompanied by at least four of the following symptoms described in the DSM-5-TR: Excessive devotion to work at the expense of family or friendsExtreme need for perfection and relentless control over your environment and interpersonal relationshipsInability to be generous to othersInability to delegate tasksInability to get rid of worn-out or worthless items (even those without sentimental value)Over-conscientiousnessPreoccupation with details, rules, lists, and order, which can result in missing the major objective of an activityRigidity and inflexibility with regards to morals, ethics, values, and/or the adherence to rules They may also look for additional signs of OCPD. These include the presence of rigid perfectionism and at least two more personality traits: Intimacy avoidanceGetting mentally "stuck" on an ideaReduced emotional expression Your doctor may also check for any difficulty you have with empathy and intimacy. People who have OCPD often struggle to maintain interpersonal relationships, including romantic relationships. They may find it difficult to empathize with others and are sometimes described as cold or aloof. They also struggle with intimacy and find it difficult to show affection or express emotions. In order to be diagnosed with OCPD, these symptoms must create significant disruptions in a person's ability to function in important life areas including school, work, family, and other relationships. OCPD also bears a close resemblance to some other conditions such as OCD, eating disorders, autism spectrum disorder, and other personality disorders. OCPD may also co-occur alongside them. A doctor will need to rule out these other conditions before making a diagnosis of OCPD. It may take some time for a doctor or therapist to determine if you have OCPD. They may need to meet with you a few times to discuss and observe your symptoms. A doctor or therapist may also need to talk to loved ones to get a better picture of your daily behaviors and interactions before they make a diagnosis. Recap Diagnosing OCPD requires experiencing at least four symptoms listed in the DSM-5-TR. These symptoms must have begun during early adulthood and must interfere with the person's ability to function in daily life. OCPD vs. OCD While OCD and OCPD are distinct forms of mental illness with their own unique and specific characteristics, there is considerable overlap between them. There are, however, some basic ways to distinguish between them. OCD Obsessive-compulsive and related disorders Distress over thoughts and behaviors Behaviors fluctuate True obsessions and/or compulsions OCPD Personality disorder Belief in purpose of thoughts/behaviors Behaviors are persistent Behaviors not driven by obsessions/compulsions Presence of True Obsessions and/or Compulsions OCD is defined by the presence of true obsessions (an irrational thought or idea that continually repeats) and/or compulsions (an irrational behavior performed repeatedly). These behaviors can occur together or on their own, and they interfere with a person's quality of life and ability to function. With OCPD, on the other hand, the personality traits are not directed by uncontrollable thoughts or irrational, repeated behaviors. While people with OCPD often engage in rigid behaviors that may be centered on following certain procedures, they don't have the same intrusive thoughts and overwhelming compulsions that people with OCD do. Feelings About Obsessive Behaviors or Thoughts People with OCD often feel distressed by the nature of their behaviors or thoughts, even if they are unable to control them. People with OCPD, however, typically believe that their actions have an aim and purpose. Because of this, those with OCPD may also avoid seeking professional help. In some situations, the traits of OCPD can even translate to success—someone who is overly dedicated to their job and conscientious of every detail, for example, might see benefits at work, even if they are struggling in other areas of their life. Consistency of Symptoms The symptoms of OCD tend to fluctuate in association with the underlying level of anxiety. People with OCD engage in behaviors as a way to deal with feelings of fear, anxiety, and uncertainty. This means that their symptoms may be less severe during times when they are experiencing less anxiety. Because OCPD is a personality disorder that's defined by inflexibility, the behaviors tend to be persistent and unchanging over the long term. These symptoms do not fluctuate depending on anxiety levels and are present in almost every area of the person's life. It is also possible for the two conditions to occur together at the same time. Research suggests that around 20% to 30% of people with OCPD may also have OCD. Around 52% of people with OCD have at least one co-morbid personality disorder. Causes of OCPD We don't yet know what causes OCPD, although there are some theories that explain different possibilities. One theory deals with attachment styles and says that OCPD may develop in children who: Had overprotective parents or caregivers who didn't offer much careDidn't develop emotionally and empathetically during their childhoodWeren't able to form secure attachments with their parents or caregivers There may also be a biological component to OCPD, as having relatives with the condition might make you more likely to have it. Risk Factors for OCPD OCPD is one of the most common personality disorders. Men and women seem to experience it at about the same rate, though it's less common in younger adults. It can occur with several other conditions, like: Depression Eating disorders Illness anxiety disorder (formerly called hypochondriasis) Parkinson's disease One study found that around 7.8% of adults will have OCPD at some point during their lifetime. Treatment for OCPD Though more research is needed in this area, most treatment plans for personality disorders begin with psychotherapy, while medication might be used as a complement. Psychotherapy Therapy options for OCPD can include: Cognitive behavior therapy (CBT), which focuses on helping you notice and, eventually, change the negative thought patterns associated with OCPD Psychodynamic therapy, which is intended to help you understand your conscious and unconscious thoughts and emotions, so you can make healthier choices in your daily life Medication Your doctor might recommend medication to help control some of your OCPD symptoms, especially if you're also experiencing another condition like depression. This might include medication to control your anxiety and/or antidepressants. Coping With OCPD The condition can make relating to others much more difficult for a person with OCPD. Excessive perfectionism and an inability to delegate tasks can create a create deal of stress. Being rigid, having high expectations, and struggling to empathize with others can also affect interpersonal relationships. People with the condition may feel isolated and misunderstood as a result. In addition to seeking treatment, you can learn some coping strategies for OCPD. These could include: Educating yourself: Learning more about your condition can be an empowering experience. It may help you notice when a symptom of OCPD is causing your behavior, so you can take steps to cope. Managing your stress: Keeping your overall stress levels low is always a good idea. Try developing a plan to reduce stress so you'll be ready to cope with whatever comes your way. Practicing self-care: If you have OCPD, it can be easy to neglect yourself while you focus on your current project. Consider making self-care a regular part of your day. Trying mindfulness and meditation: Mindfulness can help you spot times when perfectionism is causing anxiety, for example, so you can take steps to calm yourself. Meditation pairs well with mindfulness, and it's an effective stress reliever. Recap An accurate diagnosis can help ensure you get the most appropriate treatment, which may include a combination of psychotherapy and medication. Coping strategies such as lowering your stress and learning more about your condition can also be helpful for managing your symptoms. How to Cope With a Personality Disorder A Word From Verywell If you have traits of OCPD and you're looking for help, it's important to seek the care of a qualified mental health professional. You may not immediately recognize the detrimental impact of your behavior and how it's affecting different areas of your life. A mental health professional can determine whether or not you have OCPD and help you deal with the symptoms of the condition. If you or a loved one are struggling with OCD, OCPD, or another mental health condition, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. 10 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Cain NM, Ansell EB, Simpson HB, Pinto A. Interpersonal functioning in obsessive-compulsive personality disorder. J Pers Assess. 2015;97(1):90-99. doi:10.1080/00223891.2014.934376 American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders. 5th ed, text revision. Washington, D.C.; 2022. Diedrich A, Voderholzer U. Obsessive–compulsive personality disorder: A current review. Curr Psychiatry Rep. 2015;17(2):2. doi:10.1007/s11920-014-0547-8 Fineberg NA, Reghunandanan S, Kolli S, Atmaca M. Obsessive-compulsive (Anankastic) personality disorder: toward the ICD-11 classification. Rev Bras Psiquiatr. 2014;36(suppl 1):40-50. doi:10.1590/1516-4446-2013-1282 Brakoulias V, Starcevic V, Martin A, Berle D, Milicevic D, Viswasam K. The familiality of specific symptoms of obsessive-compulsive disorder. Psychiatry Res. 2016;239:315-319. doi:10.1016/j.psychres.2016.03.047 Rowland TA, Jainer AK, Panchal R. Living with obsessional personality. BJPsych Bull. 2017;41(6):366-367. doi:10.1192/pb.41.6.366a Thamby A, Khanna S. The role of personality disorders in obsessive-compulsive disorder. Indian J Psychiatry. 2019;61(Suppl 1):S114-S118. doi:10.4103/psychiatry.IndianJPsychiatry_526_18 Starcevic V, Brakoulias V. New diagnostic perspectives on obsessive-compulsive personality disorder and its links with other conditions. Curr Opin Psychiatry. 2014;27(1):62-67. doi:10.1097/YCO.0000000000000030 Grant JE, Mooney ME, Kushner MG. Prevalence, correlates, and comorbidity of DSM-IV obsessive-compulsive personality disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Psychiatr Res. 2012;46(4):469-75. doi:10.1016/j.jpsychires.2012.01.009 Bateman AW, Gunderson J, Mulder R. Treatment of personality disorder. The Lancet. 2015;385(9969):735-743. doi:10.1016/S0140-6736(14)61394-5 By Owen Kelly, PhD Owen Kelly, PhD, is a clinical psychologist, professor, and author in Ontario, ON, who specializes in anxiety and mood disorders. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for OCD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.