Obsessive personality

Introduction Obsessive-compulsive personality These type of personality disorder patients are methodical, honest and reliable, but appear rigid and rigid, making it difficult to adapt to change.

Cause

Because they are cautious, they have repeatedly weighed all aspects of the problem, making it difficult to decide. They are very responsible, but because of hateful mistakes, the pursuit of perfection, they will over-emphasize details, forget the original purpose or difficult to complete the task. As a result, responsibility makes them anxious, and rarely enjoys satisfaction from achievement. Most compulsive performances are adaptive, and as long as the symptoms are not particularly noticeable, patients often achieve great results, especially in science and other subject areas that require order, perfection, perseverance. But for those who can't dominate, they must rely on others or unpredictable emotions, interpersonal relationships and situations, and compulsive personality feels uncomfortable.

an examination

Related inspection

Brain CT examination

There are three aspects to the specific behavior of forced personality:

(1) There is always a sense of insecurity in my heart, often in a state of inexplicable tension and anxiety. If the door is locked, it should be checked repeatedly, worrying about whether the door is locked. After writing the letter, check whether the stamp has been posted, whether the address is written correctly, and so on.

(2) If you think too much, you are always unsure of what you are doing. You always think that you have not met the requirements. If others doubt, they will feel uneasy.

(3) The behavior follows the rules and does not know how to change. I dont have much hobbies, and there are a lot of rules and regulations. Dealing with things in an orderly, neat, and strict time, but the rhythm is bright, sudden things seem to be overwhelmed, difficult to adapt, and accept new things slowly. In short, forced personality always gives the impression of stereotype, stiffness, and lack of vitality.

The formation of obsessive-compulsive personality disorder is generally related to family education and life experiences in childhood. Parental discipline is too strict and demanding, requiring children to strictly abide by the norms, and never letting them do their own thing, causing children to be too cautious and cautious in doing things. Parents are punished by their parents for doing something wrong. They do all kinds of things and are indecisive and indecisive. Slowly form an emotional reaction that is often tense and anxious. The living habits of some family members may also have an impact on children. For example, doctors and families, due to excessive love of cleanliness, pay special attention to children's health, it is easy for children to form "cleanliness" and cause forced hand washing. In addition, the early years are subject to strong setbacks and stimuli, and may also result in forced personality. Studies have also shown that forced personality is also related to heredity. If family members have obsessive-compulsive personality disorder, their relatives are more likely to have obsessive-compulsive personality disorder than ordinary normal families.

Differential diagnosis

Differential diagnosis of compulsive personality:

1. Schizophrenia: Forced thinking of obsessive-compulsive disorder is sometimes mistaken for illusion of schizophrenia. However, patients with obsessive-compulsive disorder often have self-knowledge and believe that this forced thinking is unrealistic. They often feel painful and anxiety because they cannot avoid it. However, patients with schizophrenia may have obsessive-compulsive symptoms in the early stage, and their obsessive-compulsive symptoms lack obvious psychology. The incentive has the characteristics of bizarre content, variable form and incomprehensibility. Moreover, patients often do not feel distressed, without obvious anxiety, and have no strong desire for self-control and desire for treatment, and their self-knowledge is incomplete. And the emergence of obsessive-compulsive symptoms in patients with schizophrenia It is only a part of the symptoms of schizophrenia, and may be accompanied by other symptoms of schizophrenia, which can be used as a basis for identification. In patients with chronic obsessive-compulsive disorder, short-term psychotic symptoms may occur, but they may recover soon. It is not considered that schizophrenia has developed at this time. A small number of cases of schizophrenia can coexist with obsessive-compulsive disorder, and the next two diagnoses should be made.

2. Depression: Depressed patients may have obsessive-compulsive symptoms, often expressed as excessive rethinking or thinking about specific thoughts. However, these thoughts of depressive disorder are not as meaningless as obsessive-compulsive disorder, and depression, which is usually accompanied by obsessive-compulsive symptoms, is still dominated by depressed mood disorders. People with obsessive-compulsive disorder are also often associated with depression. It should be analyzed from the pathogenesis process to analyze whether the main clinical symptoms are obsessive-compulsive symptoms or depression; whether the obsessive-compulsive symptoms are primary or secondary to depression. The obsessive-compulsive symptoms of depression patients can be eliminated with the disappearance of depression; and the depression of patients with obsessive-compulsive disorder can also be improved by the reduction of obsessive-compulsive symptoms. Two types of symptoms exist independently and should be diagnosed in the next two cases.

3. Phobia: The core symptom of phobia is fear of a special environment or object. The object of fear comes from objective reality, with obvious avoidance behavior, without obsessive attitude; while forced thinking and behavior are derived from the subjective experience of patients. Its evasive behavior is related to forced suspicion and forced fear. Both diseases can also exist at the same time.

4. Brain organic diseases: organic diseases of the central nervous system, especially basal ganglia lesions can also appear obsessive-compulsive symptoms. Identification based on medical history and physical signs.

5. Excessive repetitive behaviors with intrinsic pleasure, such as gambling, drinking or smoking, cannot be considered compulsive. The behavior of forced behavior is an unpleasant repetition.

6. Obsessive-compulsive disorder, in addition to comorbidity with schizophrenia and depression, can also be associated with hyperactive slang syndrome, tic disorder, panic disorder, simple phobia and social phobia, eating disorder, autism, etc. presence. All should be diagnosed according to the diagnostic criteria.

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