Sunday, 3 May 2026

Chapter O13 – Module 37 Obsessive, Compulsive, Personality, Behavioural, and Related Disorders (O–List Module)

 

🧠 1. Obsessive-Compulsive Disorder (OCD)

Obsessive-Compulsive Disorder (OCD) is a mental health condition involving:

  • Obsessions (intrusive, unwanted thoughts)
  • Compulsions (repetitive behaviours performed to reduce anxiety)

It affects around 1–2% of people.

Key Features

  • Repetitive checking, cleaning, counting, or arranging
  • Strong anxiety if rituals are not completed
  • Distress caused by intrusive thoughts

Examples of Compulsions

  • Hand washing repeatedly
  • Checking doors, locks, or appliances
  • Repeating phrases or actions

🧩 2. Obsessive-Compulsive Personality Disorder (OCPD)

OCPD is a personality disorder, not the same as OCD.

It is characterised by:

  • Extreme perfectionism
  • Need for control
  • Strong focus on order and rules

Key Differences from OCD

  • OCPD is more about personality style
  • Thoughts/behaviour feel “right” to the person
  • Less presence of intrusive unwanted obsessions

Common Traits

  • Over-focus on work and productivity
  • Difficulty delegating tasks
  • Rigid thinking patterns
  • High standards that are hard to meet

πŸŒ™ 3. Oneirophrenia

Oneirophrenia is a rare dream-like mental state, often involving:

  • Hallucinations
  • Confusion between dreams and reality
  • Altered perception of surroundings

Possible Causes

  • Severe sleep deprivation
  • Sensory deprivation
  • Extreme stress or neurological disturbance

🧩 4. Onychophagia (Nail Biting Disorder)

Onychophagia refers to chronic nail biting, classified as a body-focused repetitive behaviour.

Key Features

  • Repeated nail biting, often unconscious
  • Occurs during stress, boredom, or anxiety
  • Can damage nails, skin, and teeth

Related Issues

  • Anxiety
  • ADHD tendencies
  • Habitual coping behaviours

πŸ’Š 5. Opioid Use Disorder (Opioid Addiction)

Opioid Use Disorder is a chronic addiction condition involving dependence on opioid drugs.

Key Features

  • Strong cravings
  • Loss of control over use
  • Continued use despite harm

Risks

  • Overdose
  • Respiratory failure
  • Severe withdrawal symptoms

⚠️ 6. Oppositional Defiant Disorder (ODD)

ODD is a behavioural disorder usually diagnosed in childhood.

Key Features

  • Frequent anger and irritability
  • Argumentative behaviour toward authority
  • Refusal to follow rules

Behaviour Patterns

  • Easily annoyed
  • Blaming others for mistakes
  • Deliberately annoying others

πŸ₯— 7. Orthorexia (Orthorexia Nervosa)

Orthorexia is an unhealthy obsession with “clean” or “perfect” eating.

Key Features

  • Strict food rules
  • Avoidance of “impure” foods
  • Anxiety around eating “wrong” foods

Possible Consequences

  • Nutritional deficiencies
  • Social isolation
  • Anxiety around meals and food choices

πŸ“Œ Summary of Module

This module covers a wide range of O-related conditions:

  • OCD → intrusive thoughts + compulsive behaviours
  • OCPD → perfectionism and control-focused personality
  • Oneirophrenia → dream-like altered mental state
  • Onychophagia → chronic nail biting behaviour
  • Opioid Use Disorder → addiction to opioid substances
  • ODD → oppositional and defiant childhood behaviour
  • Orthorexia → obsessive healthy eating patterns 

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