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Unread April 30th, 2006, 05:33 AM
Carl Robbins Carl Robbins is offline
Join Date: Jul 2004
Posts: 6
Default Re: Understanding Obsessive-compulsive Disorder

Is your patient's perfectionism an indication of OCPD (Obsessive Compulsive Personality Disorder), rather than OCD? Is the need to be so careful about money driven by anxiety or by a insistence on being right and, perhaps, excessively frugal?

Steve Phillipson has a superb article on the distinction between OCPD and OCD entitled, "The Right Stuff...A Defect of Philosophy, not Anxiety."

I'd like to hear suggestions on the differences between treating OCD vs. OCPD. It seems that exposure would be less important in the latter condition.

Also, I've used Grayson's book extensively with clients in my private practice. There is a great chapter discussing the importance of cultivating tolerance for uncertainty in GAD, Hyponchodriasis, and Body Dysmorphic Disorder. Grayson includes a number of scripts that can be used to enhance and support exposure.
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