Obsessive-compulsive personality disorder Discussion.
Obsessive-compulsive personality disorder Discussion.
Obsessive-compulsive personality disorder
Obsessive-compulsive personality disorder (F60.5) is a personality disorder characterized by obsessions (i.e., intrusive and unwanted thoughts, as well as doubts about actions), compulsions (i.e., specific behavioral actions which includes covert mental rituals to suppress or neutralize the obsession), and the extensive avoidance to by individuals with this disorder to prevent the provocation of the obsessions and compulsions (American Psychiatric Association, 2013). According to the DSM-V diagnostic criteria, these symptoms must be present beginning by early adulthood, preoccupied with details to the extent that the major point is lost, perfectionism that interferes with task completion, excessive devotion to work and productivity to the exclusion of leisure activities and friendship, over conscientiousness and inflexibility to matters of morality, ethics or values which has nothing to do with religious identification, showing rigidity and stubbornness (American psychiatric association, 2013).
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One of the effective approaches to obsessive-compulsive personality disorder is cognitive therapy, which incorporates response prevention exposure (McKay et al., 2015). Cognitive therapy stems from the position that dysfunctional beliefs promote problematic behaviors. Cognitive therapy is a therapeutic approach for individuals with obsessive-compulsive behavior because it will encourage the identification and modification of dysfunctional appraisals of intrusions and symptom-related beliefs in order to impact problematic behaviors (McKay et al., 2015). In terms of psychopharmacology, selective serotonin reuptake inhibitors such as Prozac and Zoloft have been FDA approved as first-line treatment of obsessive-compulsive personality disorder (Hirschtritt, Bloch, & Mathews, 2017).
In order not to damage any therapeutic relationship, and to promote a therapeutic bond between therapists and clients, the ingredients of empathy, alliance, and positive regard must cement the communication between the involved parties (Muntigl & Horvath, 2014). Clients respond well when they are approached from the point of understanding free of judgment and positive regard than when such elements are missing during communication. Displaying a sense of understanding builds trust and encourages the client to open up in ways in which the therapist can better assist with therapeutic care (Muntigl & Horvath, 2014).
References:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Hirschtritt, M. E., Bloch, M. H., & Mathews, C. A. (2017). Obsessive-compulsive disorder: advances in diagnosis and treatment. Jama, 317(13), 1358-1367. doi:10.1001/jama.2017.2200
McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D. J., Kyrios, M., … & Veale, D. (2015). Efficacy of cognitive-behavioral therapy for obsessive–compulsive disorder. Psychiatry research, 225(3), 236-246. https://doi.org/10.1016/j.psychres.2014.11.058
Muntigl, P., & Horvath, A. O. (2014). The therapeutic relationship in action: How therapists and clients co-manage relational disaffiliation. Psychotherapy Research, 24(3), 327-345. https://doi.org/10.1080/10503307.2013.807525
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