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

Self-Esteem and Shaming Parents

By Stephanie Osuba

We have all felt, in one way or another, like we weren’t good enough or even felt embarrassed after making a mistake at work. This is healthy in that we are expressing sadness or just reflecting on a situation that could have been handled differently, but we move on and eventually feel valued and confident again. However, for some, that feeling of shame and guilt never goes away. Some believe they are inherently flawed, worthless, and inferior to everyone else. These negative emotions and lack of self-esteem are largely rooted in repeated childhood and adolescence trauma that is often left unprocessed. Internalization of this emotional abuse leads to a conditioning of sort, usually by the primary caregiver, that the negative emotions constantly felt reflect who one is as a person. This person comes to genuinely believe that he or she is a bad person, unlovable, never good enough, and deserves to be treated with disrespect.

The constant shame is also accompanied by a constant feeling of guilt. Everything is his or her fault, regardless of the context. There is a sense of unjust responsibility for other people’s emotions and the outcome of all situations. Its no wonder why low self-esteem can manifest itself in anxiety, self-harm or poor self-care, or on the other extreme, narcissism and antisocial tendencies. Here are some behaviors that can be a manifestation of low self-esteem:

  • Lack of healthy self-love: poor self-care, self-harm, lack of empathy, and inadequate social skills
  • Emptiness: loneliness, lack of motivation, and finding distractions from emotions
  • Perfectionism: this is often a behavior that manifests as adults because of the unrealistic standards these children were held to by their parents and were punished for not meeting
  • Narcissism: grandiose fantasies of who they want others to perceive them to be; even if they do succeed however, this protective personality doesn’t numb the negative emotions they truly feel.
  • Unhealthy relationships: people with low self-esteem are incapable of building and maintaining a relationship with others, largely because they don’t know what a healthy relationship looks like. Both parties are usually extremely dependent.
  • Susceptibility to manipulation: the constant self-doubt, shame and guilt make it too easy to bend a person with low self-esteem to an experienced manipulator’s will.

Source: Cikanavicius, D. (2018, September 03). A Brief Guide to Unprocessed Childhood Toxic Shame. Retrieved from https://blogs.psychcentral.com/psychology-self/2018/09/childhood-toxic-shame/ 

If you or someone you know is struggling with self-esteem, 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/

Perfectionism: How Striving to be the Best can Leave us at our Worst

By: Sanjita Ekhelikar

We are commonly told that no one in the world is “perfect”, and that there is no such thing as “perfection”. Or so they say. Then why do so many people around the world still try to aim for this standard of “perfect” in what they do in life?

Perfectionists are individuals who strive for flawlessness. They set very high standards and expectations for themselves, have a set way of wanting to do things, and take time to be truly satisfied with their work. Aiming for perfectionism definitely has benefits. We all know that one person from school or work who would be the “perfectionist”: they would be the most successful, put out high quality work, and constantly keep pushing boundaries so that their final products are amazing.

However, being a perfectionist has its disadvantages and dangers. Individuals who seek to be “perfect” set extremely high standards for themselves, which results in their being very critical of themselves. Perfectionists tend to notice and fixate on all of their flaws, as they wish to not only produce “perfect” work but also to be “perfect” people. Whenever a perfectionist make mistakes, as does everyone in the world, he or she is unable to look past the “failure” and thus feel extreme guilt, shame, and sadness.

Perfectionistic thinking underlies several mental illnesses, such as depression, anxiety, OCD, and eating disorders. It can even lead to suicidal thoughts. Perfectionists’ inability to accept failure, constant self-criticism, and desire to act, be, and look perfect, drives them towards unhealthy behaviors and thinking. They are constantly hard on themselves for not achieving “perfect,” which is inevitable because there is no such thing as perfect! These patterns of thinking and negative behaviors need to be monitored for the risks they present in causing mental illness.

Instead of striving for “perfection,” we should be encouraging others and ourselves to be the best versions of who we are. Remind people that there is in fact a beauty in accepting yourself and your positive attributes, and in being kind to yourself. Encourage people to accept themselves, make mistakes, and to strive to not look perfect. We should truly appreciate ourselves and accept BOTH the good and the imperfect. By addressing and changing the perfectionist way of thinking, we can better prevent, understand, and heal many mental illnesses.

If you or someone you know is suffering from any of the aforementioned symptoms, 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/.