Question:
Mr. K was brought to a psychiatrist by his friend, saying that Mr. K needs everything to be in perfect order and has difficulty in getting rid of things stored with him, both of which are affecting his work quality. He is a perfectionist. However, Mr. K denies such complaints. What is the diagnosis?
Mr. K was brought to a psychiatrist by his friend, saying that Mr. K needs everything to be in perfect order and has difficulty in getting rid of things stored with him, both of which are affecting his work quality. He is a perfectionist. However, Mr. K denies such complaints. What is the diagnosis?
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Perfectionism, orderliness, rigidity, and hoarding-like difficulty discarding items with poor insight = OCPD.
Updated On: May 14, 2026
- Narcissistic personality
- Obsessive Compulsive Personality Disorder
- Paranoid delusion
- Dependent personality
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The Correct Option is B
Solution and Explanation
Concept:
Obsessive Compulsive Personality Disorder is characterized by perfectionism, orderliness, control, rigidity, and difficulty discarding items. The person often lacks insight and may consider the behavior normal.
Step 1: Identify personality traits.
The patient has: \[ \text{Perfectionism + need for order + difficulty discarding things} \]
Step 2: Note the lack of insight.
He denies complaints, suggesting ego-syntonic behavior. This is typical of personality disorder.
Step 3: Differentiate from OCD.
In OCD, obsessions and compulsions are usually ego-dystonic and distressing. In OCPD, traits are long-standing and ego-syntonic. Therefore, the correct answer is Obsessive Compulsive Personality Disorder.
Step 1: Identify personality traits.
The patient has: \[ \text{Perfectionism + need for order + difficulty discarding things} \]
Step 2: Note the lack of insight.
He denies complaints, suggesting ego-syntonic behavior. This is typical of personality disorder.
Step 3: Differentiate from OCD.
In OCD, obsessions and compulsions are usually ego-dystonic and distressing. In OCPD, traits are long-standing and ego-syntonic. Therefore, the correct answer is Obsessive Compulsive Personality Disorder.
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