This disorder manifests itself in ways both unnoticeable to others and
in those which are more bizarre.
ICD - Criteria for Diagnosis
F60.5 Anankastic (Obsessive-Compulsive) Personality Disorder
Personality disorder characterized by at least 3 of the following:
- feelings of excessive doubt and caution;
- preoccupation with details, rules, lists, order, organization
- perfectionism that interferes with task completion;
- excessive conscientiousness, scrupulousness, and undue preoccupation
with productivity to the exclusion of pleasure and interpersonal
- excessive pedantry and adherence to social conventions;
- rigidity and stubbornness;
- unreasonable insistence by the patient that others submit to exactly
his or her way of doing things, or unreasonable reluctance to allow
others to do things;
- intrusion of insistent and unwelcome thoughts or impulses.
- compulsive and obsessional personality (disorder)
- obsessive-compulsive personality disorder
- obsessive-compulsive disorder
American Description and Diagnostic Criteria (DSM IV)
Either obsessions or compulsions:
Obsessions as defined by (1), (2), (3), and (4):
- recurrent and persistent thoughts, impulses, or images that are
experienced, at some time during the disturbance, as intrusive and
inappropriate and that cause marked anxiety or distress.
- the thoughts, impulses, or images are not simply excessive worries
about real-life problems.
- the person attempts to ignore or suppress such thoughts, impulses,
or images, or to neutralize them with some other thought or action
- the person recognizes that the obsessional thoughts, impulses,
or images are a product of his or her own mind (not imposed from
without as in thought insertion)
Compulsions as defined by (1) and (2):
- repetitive behaviors (e.g., hand washing, ordering, checking)
or mental acts (e.g., praying, counting, repeating words silently)
that the person feels driven to perform in response to an obsession,
or according to rules that must be applied rigidly
- the behaviors or mental acts are aimed at preventing or reducing
distress or preventing some dreaded event or situation; however,
these behaviors or mental acts either are not connected in a realistic
way with what they are designed to neutralize or prevent or are
- At some point during the course of the disorder, the person
has recognized that the obsessions or compulsions are excessive or unreasonable.
Note: This does not apply to children.
- The obsessions or ompulsions cause marked distress, are time
consuming (take more than 1 hour a day), or significantly interfere
with the person's normal routine, occupational (or academic) functioning,
or usual social activities or relationships.
- If another Axis I disorder is present, the content of the obsessions
or compulsions is not restricted to it (e.g., preoccupation with food
in the presence of an Eating Disorder; hair pulling in the presence
of Trichotillomania; concern with appearance in the presence of Body
Dysmorphic Disorder; preoccupation with drugs in the presence of a Substance
Use Disorder; preoccupation with having a serious illness in the presence
of Hypochondriasis; preoccupation with sexual urges or fantasies in
the presence of a Paraphilia; or guilty ruminations in the presence
of Major Depressive Disorder).
- The disturbance is not due to the direct physiological effects
of a substance (e.g., a drug of abuse, a medication) or a general medical
With Poor Insight: if, for most of the time during
the current episode the person does not recognize that the obsessions
and compulsions are excessive or unreasonable.
- Depressed Mood
- Somatic/Sexual Dysfunction
- Anxious/Fearful/Dependent Personality