00:01
Obsessive Compulsive Disorder.
00:04
Well,
this is a personality disorder.
00:06
It is also, obsessive compulsive
also has a psychiatric disorder.
00:12
So let's separate these two.
00:14
This is obsessive compulsive
personality disorder.
00:18
So it's a coping mechanism
as part of a personality.
00:23
There's a rigidity
because this person has learned
throughout their early life
that standards have to be met
and they cannot be changed.
00:34
And if that is done differently,
it causes enormous anxiety.
00:40
They will always be careful and
rehearse their social responses.
00:46
They want to make sure that what they
say is what is supposed to be said,
and that it is said perfectly.
00:53
"Yes, ma'am."
"No, sir."
"Could you repeat that, sir?"
"Dr. Marshall's telephone."
It is very rigid.
01:03
They also have this
goal-seeking behavior
that sometimes is
pretty self-defeating
because it becomes
obsessive excessive.
01:14
When you think of any of
the personality disorders,
none of them are within
that normal curve.
01:22
You want to think of them all
as being at that obsessive area
where it interferes with their
activities of daily living.
01:31
So in this case,
it becomes very self-defeating
to try and get into
a relationship.
01:39
Because the goals are set,
and they cannot be changed.
01:45
There is this obsession to make sure
everything is exactly as it should be.
01:52
And then there's this
added compulsion,
I have to do something in order to
make sure that this obsessive thought
is going to be completed.
02:03
Remember, the obsession is a thought,
the compulsion is a behavior.
02:07
So they have these standards.
02:10
And when they have
these strict standards,
it can't be done any other way.
02:17
I had someone who used to write and if they
went over the margin even a little bit,
they would take the full page
that they had handwritten.
02:28
Just crunch it up
and throw it away
because it was no good anymore.
02:33
They failed, they failed to
stay within those margins.
02:37
Also, they have this
focus on perfection.
02:40
It has to be perfect
or it is no good.
02:45
And I always like
to say to people,
"You never want perfect
to be the enemy of good."
We want to allow good
to become better.
02:58
Once we have perfect.
03:00
Well, there's nothing
better than that.
03:04
And there's always something
better, there is no perfect.
03:07
So don't let perfect
become the enemy of good.
03:13
A lot of patients
like to hear that
because it takes some
of the anxiety away
of you mean there
isn't a perfect.
03:20
I don't have to be perfect
in order to be loved.