Perfectionism OCD

Dr. Rameez Shaikh
2 min readJun 25, 2024

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Perfectionism OCD, also known as perfectionistic compulsive behavior or obsessive-compulsive personality disorder (OCPD) in some contexts, involves an overwhelming need for things to be perfect or done in a specific way. People with this form of OCD may feel extreme distress and anxiety when things are not “just right.” Here’s a detailed explanation of Perfectionism OCD:

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Characteristics of Perfectionism OCD:

  • High Standards: Setting extremely high standards for oneself and others, often to an unrealistic or unattainable degree.
  • Fear of Mistakes: An intense fear of making mistakes, which can lead to excessive checking, correcting, and redoing tasks.
  • Rigid Rules: A strict adherence to rules and routines, feeling distressed if things deviate from the expected order.
  • Overthinking: Excessive rumination over small details, decisions, or actions, worrying about imperfections or flaws.
  • Procrastination: Delaying tasks because of the fear of not completing them perfectly, leading to stress and anxiety.

Causes of Perfectionism OCD:

  • Genetic Factors: Family history of OCD or perfectionistic traits can increase the risk of developing Perfectionism OCD.
  • Biological Factors: Imbalances in brain chemistry, particularly involving neurotransmitters like serotonin, can contribute to OCD.
  • Environmental Factors: High expectations from family, school, or society can contribute to the development of perfectionistic tendencies. Traumatic or stressful experiences can also play a role.

Impact on Life:

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  • Mental Health: Constant striving for perfection can lead to chronic stress, anxiety, depression, and low self-esteem.
  • Productivity: Paradoxically, the fear of imperfection can reduce productivity, as individuals may spend excessive time on small details or avoid tasks altogether.
  • Relationships: Perfectionistic demands can strain relationships with family, friends, and colleagues, as others may find it challenging to meet the high standards set by the person with Perfectionism OCD.

Treatment:

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  • Cognitive Behavioral Therapy (CBT): A type of psychotherapy that helps individuals recognize and change negative thought patterns and behaviors. Exposure and Response Prevention (ERP), a form of CBT, is particularly effective for OCD.
  • Medication: Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed to help manage OCD symptoms.
  • Mindfulness and Relaxation Techniques: These can help individuals manage anxiety and reduce the stress associated with perfectionism.

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Dr. Rameez Shaikh
Dr. Rameez Shaikh

Written by Dr. Rameez Shaikh

Consultant Psychiatrist, Psychotherapist and Sexologist at Mind & Mood Clinic, Nagpur

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