Perfectionism: Obsessive-Compulsive Personality Disorder (OCPD)

Perfectionism: Obsessive-Compulsive Personality Disorder (OCPD)
By: Isabelle Siegel

Oftentimes when people say “I’m so OCD,” what they really mean is “I’m a perfectionist.” Perfectionism is a trait characterized by a rigid need to be perfect: that is, without flaws. Although perfectionism is often thought of as being a positive trait, it can be maladaptive in many ways. Perfectionists tend to have unrealistically high standards, to take longer to complete tasks, to struggle with collaboration, and to place immense pressure on themselves. When perfectionism is extreme, it may meet criteria for Obsessive-Compulsive Personality Disorder (OCPD).

OCPD, not to be confused with OCD, is a personality disorder characterized by a pattern of inflexibility and a fixation with perfection. This fixation can interfere with one’s ability to complete tasks, one’s interpersonal relationships, and other aspects of one’s life. People with OCPD attempt to control life using details, rules, lists, order, organization, and/or schedules. According to the Diagnostic and Statistical Manual of Mental Disorders, OCPD is diagnosed when an individual demonstrates:

  • a fixation with details, rules, lists, order, organization, or schedules
  • perfectionism that interferes with task completion
  • overemphasis on work and productivity, leaving no time for leisure or relaxation
  • a fixation with morality and ethical responsibility
  • hoarding of objects and/or money
  • an inability to delegate tasks to others
  • an overall rigidity and/or stubbornness

Like other psychological disorders, OCPD can be treated with therapy and medication. Therapies for OCPD emphasize identifying and modifying maladaptive behavioral patterns, as well as targeting triggers (such as stress) for overly perfectionistic behavior.

If you or a loved one demonstrates symptoms of OCPD, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, visit http://www.counselingpsychotherapynjny.com/

Sources:
https://www.goodtherapy.org/learn-about-therapy/issues/perfectionism
https://www.ocduk.org/related-disorders/obsessive-compulsive-personality-disorder/clinical-classification-of-obsessive-compulsive-personality-disorder/

Image Source: https://commons.wikimedia.org/wiki/File:Signs_of_OCPD_1.png

Hoarding

Hoarding

By Lauren Hernandez

                Hoarding is a disorder characterized by the continuous inability to get rid of belongings that have no significant value. While Hollywood has made hoarding a spectacle for consumers, hoarding is a serious condition which threatens the safety and livelihood of many people around the world. People with hoarding disorder will accumulate random items they believe they have an emotional attachment to or because they think they might need the item in the future.

Typically hoarding begins in adolescence and the severity of the condition worsens over time. The cause is still unknown, however hoarding disorder can be prompted by experience of a traumatic event, if a family member has had the disorder, or if a person has difficulty making decisions. People who hoard may suffer from depression, anxiety, or obsessive compulsive disorder. If a hoarder continuously refuses to throw items away, their home will be covered in growing piles of random objects. This poses a serious threat to their health and to the health of the people around them. The clutter inside a home often deems the house unlivable, and there is a greater risk for falling and tripping over items. In addition, there is an increased risk of fires, and mold due to rotting food and other items that are wasting away. People who hoard also typically struggle with personal hygiene which can be associated with other mental illnesses such as depression and anxiety.

According to DSM-5, the following symptoms are diagnostic of hoarding disorder:

  • Persistent difficulty discarding or parting with possessions, regardless of their value or lack thereof
  • The difficulty in discarding possession is due to distress associated with getting rid of them
  • The difficulty in discarding possession leads to clutter of living spaces and compromises the use of living spaces
  • The hoarding creates clinically significant distress or impairment in functioning, including the ability to maintain a safe space

A person who hoards is unable to recognize that their hoarding activity is problematic and dangerous. If you or someone you know might have hoarding tendencies perhaps attempt to either clean the space, if it does not cause too much distress, or leave it. If attempting to clean causes too much distress, seek professional help. “The primary treatments used to relieve symptoms of hoarding disorder include cognitive-behavioral therapy and antidepressant medication, such as selective serotonin reuptake inhibitors (SSRIs). One or the other, or both, may be employed” (PsychologyToday).

If you or someone you know is engaging in hoarding activities, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

 

 

 

 

 

 

 

 

 

Sources: https://www.psychologytoday.com/us/conditions/hoarding-disorder

Image Source:

https://www.bing.com/images/search?view=detailV2&id=39261EB37504F116457B197FA206B36E38D082FD&thid=OIP._Fyir4F8p4hBOh6TS6Yy-QHaHa&mediaurl=http%3A%2F%2Fwww.choosehelp.com%2Ftopics%2Fanxiety%2Fcompulsive-hoarding%2Fimage&exph=1024&expw=1024&q=hoarding&selectedindex=31&ajaxhist=0&vt=0&eim=1,2,6

Hoarding Disorder: The Psychology of Hoarding

By: Heather Kaplan

Hoarding is defined as the persistent difficulty discarding or parting with possessions, regardless of their actual value. This behavior brings about detrimental emotional, physical, social, financial and legal effects for the hoarder and their loved ones. Commonly hoarded items may be newspapers, magazines, plastic bags, cardboard boxes, photographs, food and clothing – items of little value to most but have extreme value to the hoarder. Even the mere thought of throwing these items away causes a hoarder extreme anxiety and distress. Hoarding ranges from mild to severe – often the hoarding can become so extreme that the home of the hoarder becomes almost inhabitable which results in increased risk of getting evicted.

There are various reasons why hoarders exhibit the behavior they do. People hoard because they believe that an item will become useful or valuable in the future. They also may feel that the item has sentimental value or is too big of a bargain to throw away. Hoarders try to justify reasoning for keeping each possession that they own. It is still unclear what causes the disorder; genetics, brain functioning and stressful life events are being studied as possible causes. Studies show that there is hyperactivity in the area of a hoarder’s brain that involves decision-making, which explains the stress associated with discarding their possessions.

Those who suffer from hoarding disorder experience a diminished quality of life. As stated before, a lack of functional living space is common amog hoarders. These living conditions can be so severe that they put the health of the person at risk. Hoarders also often live with broken appliances and without heat or other necessary comforts. They cope with these issues because of the shame they would feel if a person was the enter their home. Hoarding also causes anger, resentment and depression among family members and can affect the social development of children. Unlivable conditions may lead to separation or divorce, eviction and loss of child custody if applicable.

It is important to distinguish the difference between hoarding and collecting. Collectors have a sense of pride about their possessions and experience joy in displaying and talking about them. Their collections are often well-organized and well-budgeted. A hoarder collects a multitude of items and organizes them in a cluttered way. They are ashamed of their accumulations and do not feel a sense of pride when showing their belongings to others.

If you or a loved one suspects a hoarding disorder, the psychiatrists, psychologists, psychiatric nurse practitioners, social works and psychotherapists at Arista Counseling & Psychotherapy are here to help. Contact our Paramus, NJ and Manhattan, NY offices respectively at (201)-368-3700 or (212)-722-1920 to set up an appointment.

Sources:

https://adaa.org/understanding-anxiety/obsessive-compulsive-disorder-ocd/hoarding-basics

https:/www.mayoclinic.org/diseases-conditions/hoarding-disorder/symptoms-causes/syc-20356056