Obsessive-compulsive personality traits and psychotherapy

Nothing is too small for the mind, and I will connect with every little detail of your mind and work with you to build your healthy body and happy life. The obsessive-compulsive personality demands strictness and perfection, tends to rationalize conflicts, and has a strong self-control mentality and self-control behavior. These people have insecurities in general, are overly restrained from themselves, pay excessive attention to the correctness of their behavior and the appropriateness of their demeanor, and therefore behave in a particularly rigid and inflexible manner. The sense of responsibility is particularly strong, often with a high standard of perfection, the pursuit of perfection, but at the same time stick to the rules. In terms of handling things, they are too cautious and often pay attention to details and neglect the whole picture because they are too serious. They make mistakes, are indecisive and have difficulty making decisions. Their emotions are more anxious, nervous and regretful, and less relaxed and satisfied. They are not easy to approach, difficult to treat people warmly, and lack a sense of humor. They are easily resentful because they feel dissatisfied with others and themselves. Compulsive personality disorder is a relatively common personality disorder, and the number of people with this type of personality accounts for 5% of the total number of psychological disorders. The symptoms of obsessive-compulsive personality disorder are described in the Chinese Classification of Mental Disorders and Diagnostic Criteria (CCMD-2-R) as follows: 1) The need to do everything perfectly, in order, and in an orderly manner, which sometimes affects the efficiency of work. 2, unreasonable insistence that others must also be strictly in accordance with his way of doing things, otherwise the heart is very unhappy, very uneasy about others to do things. 3, indecisive, often delay or avoid making decisions. 4, often have a sense of insecurity, thinking, repeatedly consider whether the plan is uncovered, repeatedly check and check, lest negligence and errors. 5, adhere to the details, even the small details of life also to “programmed”, do not follow certain rules will feel uneasy or to redo. 6.After completing a job often lack of pleasure and satisfaction of the experience, but on the contrary, easy to regret and guilt. 7.Being strict with oneself, over-indulging in duties and ethics, having no hobbies, being stingy and lacking friendship. The diagnosis of obsessive-compulsive personality disorder can be made only if the patient’s condition meets at least three of the above items. Behavioral manifestations There are three specific behavioral manifestations of obsessive-compulsive personality: 1, the heart is always covered with a sense of insecurity, often in a state of inexplicable tension and anxiety. For example, after locking the door, you have to check again and again whether the door is locked, and after writing a letter, you have to check again and again whether the stamps have been affixed and whether the address has been written correctly, etc. 2, too much thinking, always unsure of what they do, always think they have not met the requirements, others suspect, they feel uneasy. 3.Conformity in behavior, do not know how to adapt. Not many hobbies, but a lot of rules and regulations. Handling things in an orderly and tidy manner, strict adherence to the moment, but the fast pace, the sudden arrival of things seem to be overwhelmed, difficult to adapt, slow to accept new things. In short, obsessive-compulsive personality always gives people the impression of being stereotypical, rigid and lacking vitality. Causes The formation of obsessive-compulsive personality disorder is usually in the early childhood, and is directly related to family education and life experiences. Parents are overly strict and demanding, requiring their children to strictly comply with the norms, and never allowed to do things on their own, resulting in children to be overly restrained and cautious, not to do something wrong and be punished by their parents, to do everything are a lot of thinking, indecisive, and slowly formed a regular nervous, anxious emotional reaction. Some family members’ habits may also have an impact on children, such as doctors’ families, due to excessive love of cleanliness, special attention to children’s hygiene, easy to make children form “cleanliness”, compulsive hand washing and other behaviors. In addition, strong frustration and stimulation at an early age may also produce an obsessive-compulsive personality. Studies have also shown that there is a genetic link between obsessive-compulsive personality disorder and family members who have a family member with obsessive-compulsive personality disorder, and their relatives are more likely to develop obsessive-compulsive personality disorder than normal families. In general, obsessive-compulsive personality disorder is subject to strong stimulation or continuous mental stress, which can easily lead to obsessive-compulsive neurosis. Second, the treatment method 1, listen to its natural method Because the main characteristic of obsessive-compulsive personality is to rationalize the conflict, excessive repression and control of their own, so the main correction of obsessive-compulsive personality disorder is to reduce and relax the mental stress, the most effective way is to listen to the nature of anything, what to do, do it, do not think about it anymore, and do not evaluate the things done. For example, if you are worried about the door not being closed properly, let it not be closed properly; if the things on your desk are not cleaned up, let it not be clean; if your writing is awkward, let it go, it has nothing to do with you. In the beginning, this may bring anxiety emotional reaction, but because the patient’s compulsive behavior is far from the degree of OCD can not control themselves, so after a period of training and the efforts of their own will, the symptoms will be eliminated. 2. Cognitive-behavioral therapy (1) Cognitive patterns There are two main cognitive patterns in OCD patients, namely, overestimation of danger; (2) Cognitive impairments Cognitive process impairments, such as attention, memory, information reception and processing. Specifically: (1) an excessive and inappropriate sense of responsibility The pattern of misunderstanding of responsibility is a characteristic manifestation of OCD. They have an excessive sense of responsibility for events, but fear of failing in their duties with an excessive sense of mission, guilt and guilt. OCD patients overestimate danger and harmful consequences and underestimate their ability to cope. (iii) Perfectionism The perfectionist mindset – a way of controlling and reducing harm – is also a major factor in the creation and maintenance of OCD symptoms, and this cognitive pattern increases the overestimation of danger. Forms of OCD perfectionism include: knowledge of things must be perfect; everything must be done just right; absolute symmetry, certainty and ability to control in thought. ④ Vitality of thinking People with OCD are overly concerned with and control their thinking because they are afraid of being responsible for undesirable consequences, and the boundaries between thinking and acting are unclear, believing that having a certain kind of thinking will lead to producing a certain kind of behavior. ⑤ Excessive demand for control At the core of OCD is the need for external control in their lives, the need for absolute control over their environment, a way to reduce danger and avoid criticism by doing everything perfectly, OCD sufferers also demand their thoughts to avoid danger and harm, the idea of compulsion is the breakdown of the normal mental system of excessive control over impermissible thinking. (6) The demand for certainty in everything The OCD sufferer cannot tolerate uncertainty in the perception of perfection and danger, and doubt about self-efficacy is one of the cognitive styles of OCD. Psychoanalytic therapy combined with cognitive behavioral therapy (CBT) techniques can be a little more effective! However, the course of treatment is long, slow to take effect and easy to repeat in between. Both the visitor and the therapist need to be fully prepared psychologically, especially the therapist should pay more attention to the changes of empathy and counter-empathy, with clear boundaries, both holding and power!