obsessive-compulsive personality disorder

Let the trait psychologists dimensionalize all of that.

It makes complete sense that narcissism is on a continuum, that obsessionality is on a continuum when it comes to OCPD.

But borderline and antisocial are really syndromes that can be validated.

So that's sort of what I would list.

List those on axis one and let the trait psychologists dimensionalize everything else.

Narcissisms on a dimension, OCPD, obsessionalities on a dimension, but borderline and antisocial are syndromes.

Retain those.

These are so far all on the same level, the top level of the diagnostic hierarchy.

And it's CBT Skills to Overcome Rigidity, Allow Imperfection, and Improve Your Relationships.

So we learned a lot about OCPD.

Yes.

And then one of the things I think we both really admired about the book, well, there's so much to admire, but there's this one sort of chapter on what do you value or what you value.

And of course, the slant is what do you value and is that at odds with behavior that is OCPD driven? And just for anyone who didn't listen last week, OCPD is very different from OCD.

They're two completely different diagnoses.

You know, they're not the same.

And

So I'll just kind of preface that RODBT is really designed, it wasn't designed specifically for neurodivergent individuals, but it tends to help a lot with neurodivergent individuals.

So it works, it can be really, really helpful for folks on the autism spectrum and especially folks with personality characteristics of OCPD, obsessive compulsive personality disorder.

And so it's, and anxiety too, because there tends to be a theme or a pattern where some individuals, in order to feel safe, we tend to want to feel like we have more predictability and control over a situation or an outcome, because it's really, really uncomfortable to have that uncertainty or not knowing what's happening, especially if something bad could happen.

So like in social situations or trying a new skill, learning how to cook for the first time, for example, there might be a little bit more rigidity or being closed off to putting ourself out there or trying something new because we don't want to experience that, you know, feeling out of control or something going wrong or feeling embarrassed or shame.

But also, if you want to learn more, too, about those diagnosis or even OC PD, you can visit my website.

It is Sarah Mireles therapy dot com.

I have a specific page for OCPD.

You can also find RODBT therapists on radicallyopen.net. And then also if you're interested in learning, if you're a parent and you're interested in learning more about how to help your neurodivergent teen or young adult, you can visit my other website or go through my main website, which is www.parentsofneurodiversteens.mykajabi.com. And then I'll also include the links with Michelle and Kate.

I'll talk about the difference between the two in a minute.

But obsessive compulsive personality disorder, and I'm going to call this OCPD because it's going to be a mouthful if I have to keep saying it, but OCPD.

is characterized by this sort of sense of workaholism, workaholicism, rigid perfectionism, inflexibility, having a very narrow emotional expression, and having a lot of difficulty establishing close relationships and maintaining those close relationships, a lot of it because of this rigidity and sort of this need to garner all of their identity through work.

So there's a preoccupation with being orderly, with perfectionism, with always being in control, mental control, relationship control.

It's really dumb that this is what they named this disorder.

It's a very foolishly named disorder, but we're sort of stuck with it.

So when we look at this diagnostically, the kinds of patterns we see in somebody with OCPD is that they get really over-focused on rules and details and schedules and organizations so much so that they almost lose the point of the activity.

Like they'll be planning a birthday party and they'll have this big binder that's all about the birthday party and they'll get upset that something's not color-coded right and they lose track of the whole idea that this was supposed to be a joyous birthday party.