I enjoy the addition of presentation examples/case studies to the rest of the content on this channel. It just gets better and better 🎥

@marlenelindsey7638

4 жыл бұрын

Narcissistic Abuse Rehab Dr Grande is extremely intelligent. So glad he shares his knowledge with us, if it’s to help us understand others or even ourselves.

I like this type of videos, with a specific case described in them

I love when you do OCPD issues. I have been diagnosedbwith it. I didnt understand at first. Recently, due to personal difficulties, i revisited symotoms. I couldnt believe what i was reading. It became very clear why i had difficulties my whole life. Trying to be the perfect child so my mom would love to difficulties maintaining friendships and so on. Look forward to hearing more on this topic.

I'm so glad you've made another video in this format! I find it very interesting.

This is one of the only channels talking about OCPD in a scientific manner. Great video Dr.Grande! 😆👍

This is the saddest thing I've heard in a while. 😢 Somehow it broke my heart. Not sure why. It sounds like an horrific way to live. Thank you, Dr Grande. 🌹👍

@Ignirium

3 жыл бұрын

Yeah, the moment i heard her father threw away her lock box i let out an groan of sadness, I can tell it was a very important and valuable piece of her safety and security. To hear that she developed the idea of "all men are monsters" from that deep disrespect/betrayal was heartbreaking, the belief grew even more to include women because they partner with men; the World View of personal/social relationship and seeing optimism in people sounded like it was instantiated as incapable/abhorrent for her to consider the moment her lockbox was so inconsiderately thrown away. Life had given her so much evidence to support her belief, it's very sad.

@epicsharkduck7635

2 жыл бұрын

I have a much milder case of ocd and it really does suck

@Hnanava_

2 жыл бұрын

I am diagnosed with OCPD, and I really don’t like this comment. Having OCPD does not mean we live a horrific life. Like yes maybe having OCPD sucks, but there are also many benefits of having it. It ensures that I get my shit done because I am a productive person. I know that my time is valuable. And I know that I have things to continue to work on. It ensures that I go above and beyond to help the people that I love. Everything that I do is genuine because I’m not gonna waste my time on some thing I don’t care about due to my OCPD. I am grateful for my diagnosis and I love the strengths and weaknesses that come with it because it makes me who I am. I know I’m able to make improvements to better manage my 0CPD symptoms. I am an outstanding friend, teacher, sister, and daughter. OCPD is not a weakness or necessarily a disservice to anyone.

@akshithreddy182

2 жыл бұрын

@@Hnanava_ this makes me feel a bit stronger 🥺 Even i suffer from OCPD

@akshithreddy182

2 жыл бұрын

Yes its extremely hard 😔

I grew up with a father who had ocpd & narcissism.. great combo!

@kathrinjohnson2582

4 жыл бұрын

😲 oh wow ! That sounds rough.

@bellaa3018

3 жыл бұрын

I’m so sorry

@carolnahigian9518

2 жыл бұрын

Co Worker has OCD and every one innthe Room is her Punching BAG ( ugh)...

Thank you for presenting this topic with examples from actual cases - I enjoy this format most out of your videos. My father had quite a number of obsessive and compulsive behaviours from having to keep everything a certain way, whether the spices in the kitchen cupboard in alphabetical order and so many mms apart, to his clothes having to be folded just so and whilst it meant he was very neat and meticulous it did cause friction with other family members including with me. He was a perfectionist and also an extremely critical man who would make frequent negative, quite judgmental remarks criticising both myself and any friends that I brought home after high school. When they had gone to their homes I would hear him talking to my mother and loudly discourse about those individuals who he would proceed to find various faults with. No child likes to hear their friends being criticised by a parent, particularly when it seems to be done with regards to everyone as if he couldn't help but be quite nasty about others. I myself tend to be a perfectionist and like to keep my books, for example, in my very large personal library in specific orders catalogued on the shelves and separated by subject and authors just as public libraries do. So, I do think I have inherited some of my father's OCD tendencies - he never would've seen anyone in order to be diagnosed! - in a genetic sense but these are limited and whilst my husband would tease me about being germ-phobic, it isn't a big deal and thankfully I don't tend to be critical like he was - that's a rather unhealthy behaviour, I feel, and I don't want to be someone who is too busy finding fault with others and situations to relax and enjoy relationships and life generally.

@Adara007

4 жыл бұрын

@A busy mind I related also to a degree although I am not dealing with actual OCD but a perfectionistic nature - I'm an INTJ on the MBTI and INTJs detest thinking they're being idle or not working to their full capacity or potential. And I used to clean the entire house every week thoroughly and compulsively including every book and the dust jackets on my many bookshelves. I liked the feeling of a clean home afterwards but these days I am resting up preparing for major hip surgery and am not up to cleaning or housework. It's likely a good thing that I have been forced to give such cleaning a rest although I do worry about trying to catch up to all the mess left due to the less cleaning focused son of mine whose inaction regarding doing housework has left the home in disarray which stresses me out to see but not be able to attend to.

My daughter is studying to be psycologist, I sent her a couple of your videos and she absolutely loves them and your explanations are clear so you know I have a new fan from her thank you very much she's always telling me what a great video. She has her Masters but it's going for her PhD so thank you for helping her out :-)

"CASE STUDY" in the thumbnail = instant click. I would love to hear you do more in the way of case studies. I personally always find them the most interesting part.

Thanks Dr. Grande. I remember a week or two ago requesting you do another video on OCD, and you delivered really quickly. Excellent content aside, I love that you clearly pay close attention to your viewers' requests.

MY favourite psychological KZreadr! U just lay the information out so well, usually I am uninterested but you keep me interested always!

This was a hard one to watch. I felt so bad for “Brenda”. That’s not living at all. I do have a thing myself where I do have to check and make sure I have my keys right at the door before I step out, even if I know they are in my purse, because I make sure I have what I want in my purse when I’m getting ready to leave. I know they are in there, but have to check. But others have much more serious cases and it makes me realize I’m lucky it’s not worse than it is. I wonder if her parents had intervened in an appropriate way if her case wouldn’t have been so extreme. Thanks Dr. Grande. I really appreciate your videos. The video regarding”Toxic Personality Disorder” was amazing. I hope you do a paper on it, and I think it should be added to the DSM. I don’t know if you see patients, now, if so they are lucky to have you. I had a narcissistic mother who was an alcoholic. I married twice, both turned out to be narcissists. I foolishly ignored the red flags thinking I could help. That was in my 20’s. Now in my 50’s, I am able to recognize the red flags and more importantly realize I can’t fix anyone only try to be my best self.

I’m curious what a case of OCPD without OCD would look like? I didn’t think the diagnoses could be comorbid-mostly because i thought OCPD always presented with OCD symptoms so it was implied, and OCD would only be diagnosed if the personality disorder were not present. I’d be curious to hear more about this. I am diagnosed with OCD but it occurred to me as I was watching this that I know very little about OCPD. Thank you for these informative videos!

@th8257

2 жыл бұрын

It's unfortunate in many ways that OCD and OCPD have such similar names. Perhaps time to consider the naming. The world health organisation calls OCPD "Anankastic Personality Disorder". Borderline Personality Disorder is another one that is very badly named. It's known as "Emotionally Unstable Personality Disorder" (EUPD) in many countries, which I think is a far better description.

@selforganisation

Жыл бұрын

I'm diagnosed at this point with a mixed personality disorder, with symptoms of OCPD, among others, so really not a single OCPD diagnosis, but close, and I have some ritualistic behaviors like checking locks, mostly due to not trusting myself to lock stuff properly after having failed to do that in te past, but it's certainly not OCD and never has such a diagnosis been proposed.

Love the case presentation videos you’ve been doing. It really helps me to better understand the symptom manifestation for these disorders and life circumstances that influence their development

Hi Dr Grande. I appreciate the effort and time you put into each one of your videos. I've been thinking of a topic that I would like your take on... the practice of mindfulness and all the benefits lots of people say it has. I don't think the practice of mindfulness would be beneficial for everyone and sometimes the claims about it are a bit biased (I believe). In other hand, there's this relatively new idea that if you are not always in the present, you are doing something wrong... for people like me, who suffer from Generalized Anxiety, these kind of claims are really overwhelming... to the point that I get anxiety about the fact that I am thinking. (I do know that the practice of mindfulness is not about NOT thinking, I know that, but still, this whole idea that "being" in the present moment as something we always should strive for, gives me anxiety)... these ideas have been getting a lot of attention thanks to people like Ekhart Tolle. Please Dr Grande consider talking about this. I would me so grateful

@ROXCANADA2023

3 жыл бұрын

That's a great idea

Thank you so much for all these videos. I study psychology so it's really great to get introduced to all the pathologies before studying it in class. They are awesome, well explained and i think you give great inputs most of the time. I hope you'll keep the great work!

If you ever have time, I'd be really interested in hearing comparisons and differences between Autism and OCPD. Thank you.

Thank you for another great video Dr. Grande! Would you please consider maybe looking at certain presentations whereby there may be a potential overlap of OCPD vs Autism Spectrum symptoms/criteria which could be interpreted/perceived on either a hypothetical or a true case study. How maybe the OCPD and ASD could be differentiated, if possible, and also now taking into consideration the possible gender differences which appear regarding ASP (that is slowly being more understood) please and how therefore it may be overlooked; as I believe there could be some potential similarities between how OCPD and ASD presents and / or overlaps?

@simplyonemortality8122

4 жыл бұрын

Oh, and how depression could theoretically affect the two and how it could alter the presentation(s)? Thanks!

@sharonw2008

3 жыл бұрын

I was thinking exactly the same! Autistic females present completely differently to males as they are more inclined to use 'masking' I thought that a lot of the symptoms overlapped too xx

@simplyonemortality8122

3 жыл бұрын

Sharon Walker I think more is being understood now about how ASD can present so differently in different individual people but still theres a lot of work and research still to be done, I know females and males on the spectrum generally stereotypically are seen as one likely to do less camouflaging than the other i.e. theres a certain belief that more females “mask” or possibly manifest things differently from males, but actually its more now, I believe, just being understood that actually it’s not gender specific - just that every ASD individual varies. Obviously environmental factors (such as family, peer dynamics etc) also play roles in this. I’ve probably worded things wrongly in the initial comment and I’m more aware now as to the fact that it’s not necessarily gender which denotes possible manifestations or how a person presents, but it took some clearing up/investigation. Theres just so much to be done that currently theres very little research for. Unfortunately even some professionals aren’t really sure or clear on things either and so things get perpetuated such as people believing some traits are specific to females and it leads to misinformation. In some ways the same goes for OCPD - supposedly being male led ie ratios and proportionality, but there will be a margin of people likely misdiagnosed as something else too, the female ratio could be much higher but theres a propensity to lean towards other diagnosis’ simply if it is a woman and vice versa. Large part of the issue is time - how long people spend with professionals and how well a professional understands them as to wether an accurate diagnosis is likely, and its also likely lack even of education or lack of full (as possible) and up to date understanding of conditions or disorders - and beliefs which may be inaccurate but imparted on to a condition i.e. professionals having solid “ideas” about “how” thinks should look or present - without considering individuals differ too and that affects how they may present, all are likely playing a part of it too in some circumstances. For example, even some psychiatrists can find it difficult to differentiate between a person presenting with OCPD and OCD, amongst other disorders and if someone in the mental health field doesn’t really understand or even think to consider ASD then misdiagnosis’ can occur. There are definitely overlaps in how they can present I believe, a lot of it can depend on the person whose doing the assessing or observing and their own interpretation and then assumptions on what they are seeing or hearing (unfortunately). If a person has communication differences such as ASD it can be like your speaking a different language to someone who is neurotypical but technically speaks the same language - so these can be barriers too. I wish more people were aware especially those who may be responsible for / play a part in diagnosing mental health disorders and how/which could overlap etcetera.

I was finally diagnosed with OCD when I was in my early thirties - and when that happened a lot of things suddenly fell into place for me. I finally understood why I had been doing certain behaviors since childhood , and as soon as I knew I could begin to do something about it. Knowing really is half the battle, and I wish I had been diagnosed much sooner in life! Thank you, Dr. Grande, for discussing once-taboo mental health topics- it benefits us all to have a dialogue about mental health

This is another excellent and useful video. Thank you Dr Grande for so generously sharing your expertise!! This case is very vary interesting as well.

Hmmm. I have OCD and have obsessive thoughts about food poisoning me, so I compulsively ensure that my food is in date, sealed, avoid canned and frozen foods, avoid meat and jarred foods, wash everything thoroughly when cooking. I don't do anything else on your list though, Dr Grande. Bit disappointed that OCD is always made out to be about orderliness 😤

@XYZ-kb3mm

4 жыл бұрын

Sue Amero right

@jacksprat2178

4 жыл бұрын

Hoarders have OCD. Educated folk know that OCD manifests in many ways.

@Catlily5

2 жыл бұрын

Hoarding is now in a separate category than OCD in the DSM 5.

I am grateful for all the valuable information you share. I thoroughly enjoy your videos and am quite literally having Dr. Grande withdrawal the last few days while I wait for your next video. Would you do a video on Body Dysmorphic Disorder at some point, possibly even including information on comorbid disorders (e.g., O.C.D., eating disorders, excoriation disorder)? Regardless of what's to come, you truly are a person of the highest caliber who helps so many of us better understand complex disorders. Thanks for this!

Very interesting topic, as I suffer from this disorder myself. A lot of counting led me to a livelihood in accounting as well. Although much of my security issues have decreased, I still feel compelled to hand washing. I admit I am a germaphobic, and would appreciate a case study on this specific phobia. Thank you.

Love this format, very interesting and helpful 💛

Hi Dr. Grande, how about a case study concerning BPD with avoidant traits? Specifically referring to the old AvPD/BPD construct? Keep up the good work!

Thank you for your public service in delivering both education and compassion concerning mental health. Our son was diagnosed with OCD when he was seven. One day he simply refused to swallow. No eating, no drinking no swallowing. His pediatrician suspected OCD, but of course ran a CBC, Chem panel, etc... all normal. We immediately met with a child psychologist as he had gone several days without food/water and we were freaking out. During the first visit he took a sip of water, but it was about a year of therapy before he went into full remission. One technique used during therapy was to label and externalize the obsessions. He named it, “Bad Thinker”, which I found apt. Early intervention was key, along with educating us to not accommodate his OCD. As we heard in the case study, it’s a natural inclination as a parent to help your child avoid pain, but it’s counterproductive as it reinforces this pathology. Both he and I are perfectionistic and struggle with being mentally flexible.

Love your videos Doctor Grande, thank you so much for your work

I like the case studies and analysis. I’d love to see more😊

yo this stuff owns, please do more of these!

excellent channel. I go to therapy and this helps to get insights. Thanks Dr

Love this analysis. I was diagnosed and suffered from health anxiety and OCD. Interesting. RECOMMENDATION: PLEASE, do a video about Myers-Briggs and Jung Theory personality typing.

This was an interesting case study. One of the benefits of OCD is that high accuracy in counting and accuracy will at least provide a way for the client to make a good living. Many mental illnesses don't carry that advantage (bipolar disorder, schizophrenia, etc.). Client insight into mental illness is important. Without a degree of that--tx can be much harder. A little odd on the waiting 3 years to implement CBT; way too long.

@FatalSacrifice1

4 жыл бұрын

In a lot of cases counting/ checking ocd negatively effects jobs and causes job loss. In this example it was not a negative but I’m not sure that’s the norm.

@peggygenoway

4 жыл бұрын

@@FatalSacrifice1 It could be that I am forming this opinion based on my work with my own clients. I tend to steer those with ocd in the direction of where their ocd goes: if they organize and count...I suggest a closet organizing business. If they get stuck with perfectionism checking words and numbers, I suggest doing editing--working on dissertations...school papers--accounting--auditing. Excessive cleaning? Housecleaning business. I have them take pics on their phone--showing their stove is off at home--that their door is locked. That makes their time at work more focused. My clients are encouraged to explore medications, nutritional options, mindfulness treatment options. There is almost nothing that cannot be moved into the "strength" category--instead of a limitation. Let's not give up too easily.

@Afriqueafriquefull

3 жыл бұрын

@@peggygenoway Well, today is your lucky day as a practitioner. You have met a sufferer of OCD and OCPD who works as an editor, and I can tell you it’s absolute hell. My checking/just right OCD actually makes me poorer at my work. The idea is to treat the illness, and the individual will perform well. But with the illness, it doesn’t matter much if I’m suited for the field or not.

@keithh5159

2 жыл бұрын

@@peggygenoway Are you really serious? For me to be a better worker may be great for my employer, but at what cost to me and my health? I hate having OCD and would not wish this on anyone. My emphathy for others is so strong that complete strangers tell me there darkest secrets. I could take that to some degree I guess, but after someone unloads on me I worry about how there lives are going... knowing I will never see them again. This mental illness is hard to live with; my beloved wife, thankfully understands, but I can still tell at times it worries her. Add painic attacks, and all the rest that goes with it, OCD I could live happily without. Take Care My Friend, Keith

@Catlily5

2 жыл бұрын

I know bipolar people who say their disorder is beneficial because of increased creativity especially when manic. For me it is not very beneficial. But many mental illnesses can be beneficial to some people while ruining other people's lives. Most people have a combination of benefits and negatives.

You are a good story teller.

Amazing what some people go through.

Can you discuss Obsession/Limerence. I heard that it correlated with persons with Borderline Personality Disorder. Or if it relates to the Favorite Person can you give us the prognosis for a person with BPD when they loose their FP?

I work in Accounting and think I might have OCPD (My strict, angry, abusive father definitely did - the man LOVED to keep insanely neatly written lists of various things and could never finish a project due to extreme perfectionism). Your videos are really helpful. When you told the part of the story where Brenda saw the date's car full of wrappers and junk and knew right away there wouldn't be a second date, I felt that so much 🤣🤣🤣

Dr. Todd, your videos are incredibly helpful. I would love to see you do a video on Histrionic (or HPD + BPD) mothers: typical behaviors and how it affects their children. It's hard to find much literature on the subject.

Excellent case presentation

Very interesting , thanks Dr.G

Nice! This is the one I requested!

Do you have a video on purely obsessive OCD? If you don’t, please make one!!

@pocoeagle2

4 жыл бұрын

Yes he does. Type ; " OCD Dr. Grande " into the search engine of KZread and you will see several videos about OCD done by Dr. Grande.

@layunirocha7111

4 жыл бұрын

pocoeagle2 thank you!!

This video is very informative for me, keep it up!

She kind of sounds like my dad, but his obsession is with time {versus property}. He's also extremely detail oriented, seemingly unemotional {his cousin joked that they thought he was a robot when they were kids}, and fixated on routine. He got diagnosed with both OCD and OCPD when he was around 60, but almost 15 years later, the closest he'll come to acknowledging the disorders is grouping himself with other sufferers by saying "we obsessives". The best example I have of his behavior was when my kids were babies and I'd come over every Sunday at 2pm to do laundry. One time, they were super fussy, so I showed up a little early. I had 2 squirming, crying babies in my arms and had to ring the doorbell with my elbow. It was 1:58. He REFUSED to let me in the house because it wasn't 2:00 yet. I'm like, "Oh my God, it's 2 f'ing minutes", and he said if 2 minutes was nothing, I could wait 2 minutes. We literally argued for the entire 2 minutes, and then right at 2, he let me in the house. He sounds like an a$$hole, but he gets severely agitated if things aren't a certain way.

I have to spread the peanut butter in a consistent layer perfectly from edge to edge of bread.....same with the jelly.The peanut butter to jelly ratio also has to be 50/50...and a glass of cold milk chilled at 33f.

@jerrymarshall2095

4 жыл бұрын

Does the bread have to be made from wheat grown in kansas and in the same field,and stored in the same silo,and shipped on the same rail line,baked at the same bakery by the same baker,sliced on the same slicer,bagged in bags from the same lot,delivered on the same day and hour,stocked by the same stocker,put in the same shopping cart,checked out at the same cash register by the same cashier,carried out in a bag from the same slot on the bag dispenser,bought with the same groceries as before,put in the passenger back seat of the same car and driven home on the same nonstop route,and being squashed the same exact way by the same exact 64oz bottle of best value apple juice.if not,id say ur perfectly normal.

@davidthomspson9771

4 жыл бұрын

Nah im good with just the bargain bread. 🍞

@jerrymarshall2095

4 жыл бұрын

@@davidthomspson9771 sorry David ,I have some compulsions too,i m a compulsive asshole at times.

Hi Dr. Grande, I really liked this presentation. I have known many people with OCD and it's very disabling. I actually had it for awhile nut it went away. The rituals are what make it especially hard and really painful. This individual seems to have gotten better they getting help. Obviously behavioral therapy and cognitive th therapy is ideal. Regular talk therapy I'm not sure i is enough. The personality disorder coinciding with the OCD is quite perplexing and I think would be hard too accept if it were me.org takes a lot of bravery and courage to face this stuff. I think this illness is our could be a response to trauma and the rituals a way of feeling safe. I wonder if there is a sort of dissociation involved. As usual another great video. I tell my friends to check your channel out a lot! Thank you!

Great video ,very interesting topic thank you for bringing this case study to us. Sad to hear the this person didn't make much progress, I think after a year of hard work with no change , I would have found someone else to work with, even if it means starting over with someone new.

Dr. Grande, all of your videos including this one are well-produced and exceptionally informative, thank you so much for doing this. I must comment however, because I'm a little surprised you didn't mention that Brenda's OCD probably developed primarily as a *paranoid reaction* to her helpless, unprotected entrapment within a family wherein 1) the parents spent more time in absentia earning money than parenting; and 2) perhaps more significantly, the older siblings showed her very little if any respect for proper or decent boundaries. It must have been a dehumanizing situation for her, and maybe that is why she apparently suppressed feelings in favor of her all-consuming efforts to establish boundaries for her Self. The fear of feelings as something she has little control over was probably her reason for avoiding the remaining scheduled appointments with her therapist.

Wow! This just blew my mind’!! I believe I have this

I really enjoy your videos and for some reason I've always had an interest in psychology even though I've never worked in any field related to it. I think it would be interested in hearing you talk about how this type of information that you share can help the general public benefit from it. I think I benefit from it because it helps me to understand others better in order to know how to interact with them. I'd also be interesting in hearing what you think of IFS (Internal Family Systems), if you are familiar with it in helping people with various personal issues. A couple of years ago a non profit organization near me did a weekly group session for around 8 weeks teaching me and others how to use that type of therapy for ourselves.

Interesting that she liked being called a Terminator. But Arnold's terminator actually had more insight on Terminator 2 when he had to self-terminate. He realised that the kid was crying and why he was crying, but that he would never be able to do it himself because he was a machine

Thank you, Thank you, Thank you for the information!!!!

Very interesting. I like this video.

Very interesting case.

Always interesting.

Case studies are most interesting. More studies where commorbidity occurs would be appreciated

I've been diagnosed with OCD a few years ago at 16 but I didn't know about OCPD!

My psych teacher described the difference between OCD & OCPD is that OCD he said the person with it feels like dying-only because he said they feel so overwhelmed by their disorder & it’s hard to live with. And for OCPD he said people like to look clean/organized but aren’t really that way. It was a 200 level course so maybe there’s more to it but that’s how he summarized it

@wendt4506

4 жыл бұрын

OCD - Ego dystonic OCPD - Ego syntonic

I was reading OCPD can include eating disorders as well. This makes sense

It's great that you might experience a small improvement after just 4 years of treatment Also I think it would really help patients to understand themselves and improve if they just had one diagnosis rather than two or three. With several diagnosis it's extremely hard to know exactly what the problem is in a given situation and who you are/would be if symptom free (because the diagnosis covers so much ground)

It's really hard to listen to what her childhood was like.. It's as if she struggled with control, zero tollerance to making mistakes, being late, no room for errors, extreemly high sense of responsibility.. she must have been aware from an early age of her own intelligence. She was acting like an adult, when she was supposed to have a carefree childhood wrapped in fantasy and role playing. Then the parents.. when a kid is acting far more mature for their age, parents are proud. They have no idea that this huge discrepancy between age and maturity should not be encouraged. I mean, i wouldnt know that..( and i'm a smartass 😅) And it is only natural that parents are proud of their children and want the best for them. They are proud. That's the encouragement. She was probably born with high potential to succeed and she naturally went that way. But because you see your child 24/7 every day, it kind of goes unnoticed when that speciffic behaviour becomes problematic. When that happens i assume it must be heartbreaking for the parents to realize their kid is tormented without even ever knowing it doesnt have to be that way. She missed out on her childhood, and i can see why she feels weird around people, why people act weird around her.. she is not a Terminator. I would call her a Superwoman!! A precursor of one perfect world far ahead of us miserables... haha just kidding.. i hope she's ok.. she'll be all right.. thank you for the video dr G

Worst than having OCPD is for sure having it In combination with OCD. I don’t have OCD, but I have some traits that I think, might be triggered by my OCPD. Until a few weeks ago I used to work with a colleague who seems to have both - OCD and OCPD. She claims self to have only OCD, but the OCPD traits in her seemed quite clear to me. Anyways, she represented everything I had to unlearn during therapy and I didn’t like at all to see how miserable I was. I don’t need to say I truly hated this colleague. It was like looking at myself in the past, in a very bad mental shape. And the most difficult was not to see myself, but to avoid to trigger my own OCPD traits because of her OCPD. What a penance....

@angiedilaj

2 жыл бұрын

I have been diagnosed with both! It's been interesting, to say the least

I guess, the difference between OCPD and narcissism, is in following the rules rigidly. People with OCPD can appear ego syntonic. Challenging case with a sad ending.

TY, yes it was very interesting. I think i have some ocd behavior, but mine is light years behind Brenda's.

*Live stories are always much better than any book discription.

Excellent.❤️

I kinda love Brenda (though as I'm not subjected to her behavior, I have the privilege of this perspective). I feel very bad for her anxiety about her OCD, but I kinda dig her "I don't have OCPD, other people are just lazy and gross" point of view. You do you, Terminator.

I have a lot of questions from this presentation. As a clinician, how does one handle a situation in which therapy is ineffective, but suggestions of referral are met with emotional protests? I suppose this scenario may shed light on some things. I wonder if the messy feelings associated with endings ...well...the ending was not fully processed. The patient had to maintain a sense of control...had to choose how the relationship would end...I can only hope that act was part of the healing process for Brenda.

I am listening as I am wiping the water out of my kitchen sink. I hate water drops in the sink....lol I think I should book with Dr grande. At least I am not counting....yet

The insight around the Axis I diagnosis and the lack of insight around the Axis II diagnosis... isn't that somewhat typical of personality disorders, the lack of insight? Ego-syntonic?

Great video. Other interesting differentials (though there isn't sufficient evidence from the conceptualization) are perhaps Autism Spectrum Disorder (ASD, for those readers out there) and Schizoid Personality Disorder. I say this not suggesting these are a proper diagnosis in this case (they're not), as OCD seems far better. But we do see a lot of comorbidity of various traits/personality criteria accumulate in higher functioning individuals who present with ASD, such as anxiety, repetitive behaviors/need for consistency, control of the environment, etc, though the tendency to be more social is typical. Also, schizoid personality disorder may be a comorbidity as it seems as if she has a genuine flat affect in regards to human interaction, though it appears that, from the standpoint of etiology, the anxiety may stem as a result of having unfavorable interaction (people being messy, etc) instead of general disconnectedness which ultimately rules out/distinguishes schizoid. Again, just as you start all your videos, I am not trying to diagnose. And these particular differential diagnosis mentioned above are not necessarily consistent with criteria needed, but just to exemplify to readers how easy it is for two (or any number) clinicians to have different interpretations of evidence, especially if they are not specific with DSM criteria. I also hope to point out that diagnosis are not easy, cut-and-dry labels that people easily assume they are. As mentioned many times in your videos, it takes years of training and etiological assessment in addition to understanding the perspective of the DSM criteria to make a proper diagnosis.

Dr Grande, can you make a video on the symtoms/traits/behaviors/pathologies/outcomes of MALES with Borderline Personality Disorder vs Males with Covert Narcissism? I understand that men often go misdiagnosed to undiagnosed with bpd and oftentimes psychiatrists miss personality disorders. And sometimes, it's easy to confused the two diagnoses, as well. Also, how do these diagnoses affect romantic relationships? Thanks so much! Your videos are incredibly informative

Dr. Grande, I'm curious to know if you've seen traits of OCD co-morbid with psychopathy. I don't have too much experience with both, but the experience I did have there was definitely both going on! I'm interested to know how common (or uncommon) it may be. I have my own theories as to why the two could easily overlap, but I'd like to hear the viewpoints of others.

Excellent y interesting🙏🤗

Please make a Video about OCPD the „pleasing“ Type and Treatment

Doc I would like to thank you for being of such sensitive inteligence that I acctually get to apply 'code' to a youtube channel again. tween you and the fda approving a vaccine this has been a good week. bless you and thanks again. btw I owe you an apology for an exchange I had with an old adversary in the comments section. i'll put that in another comments section but for now I do apologize for 'Fighting in your Bar'. sorry about that. I'm usually better. if I could have taken it outside I would but make no mistake I needed to do it. Thank you again.

I would like to see one on all the personalities

Dr. Grande - ‘When Susan told Brenda, that their time together was nearing a closure, and suggested that they would TALK ABOUT HER FEELINGS - Brenda never showed up after that ...” - How can you (sorry, you know I value your expertise, experience, and knowledge immensely) - NOT see that this IS classic Autism? Trust me ... ask anyone with High-functioning Autism/Asperger’s about their feelings and you’d be shown the exact same behavior ;-) We CANNOT tell you WHAT we are feeling - since most of us do not FEEL the emotions/feelings cognitively understood, only “slightly somatosensory informed” like a Gut-feeling more than a distinct, specific feeling. This final example got me over the line ;-) Brenda is showing extremely ‘normal’ symptoms of high-functioning autism/Asperger’s - heck I could have said the same things about being forced to work in an office with others, as she did! I actually did say that once to a superior when I was employed as a high-paid Management Consultant for a major IT-Company - and refused to come to the office to socialize with my co-workers ... They didn’t do anything other than walk around talking privately amongst each other or on their cellphones, and the noise and distractions was so overwhelming .... so I refused and would only work from my home or at the client’s sites (no problem there socially at all) ... So Brenda - I FEEL you ;-)

@Catlily5

2 жыл бұрын

Seems there might be overlap between OCPD and Autism.

Hello Dr. Grande, I am a program manager at an integrative mental health nonprofit that only accepts clients with SPMIs. I am wanting to hear more about the overlap in the field surrounding ASD and OCPD/OCD/ADD/ADHD. Particularly OCD and OCPD. I am autistic myself and my clinician struggled with diagnosing me in my early childhood years. At five years old my clinician thought I was showing tendencies of OCD and ADD. This was about 20 years ago and I believe it may have been more challenging to diagnose ASD in women at the time. A year or two later I was reevaluated and diagnosed as ASD after a Ritalin prescription did not provide the expected results. I have a 40-year-old male-identifying client who came to me with diagnoses: ASPD, OCD, ADHD, PTSD, substance use disorder in remission, and Depression. The client informed me that the only person they felt had understood them in their life was an ex-partner who was ASD, and for this reason, they were considering if they could also be autistic. I did not inform them that I was ASD and I remained neutral when they would bring up an ASD diagnosis. After ten years of counseling, and in recent years CBT, the client was not showing signs of internalized growth or peace. The client was showing cyclical behavior of enrolling in services, declining them after a period of time and then discontinuing medication and engaging in self-harm and/or suicide attempts. It was clear to me that this client needed different supports, and though I did everything to counter my own bias I also need to listen to the client. The client stated that I "spoke the same language" as them and that their feeling of not being understood by peers or case managers was "fueling" their SI. I suggested an ASD online support group to this client. Contrary to previous patterns, the client continues to engage in the support group and informed me that they thoroughly enjoy attending. The client has not attempted since engaging in the support group. The client has not discontinued or declined their medication. There are many more details to this story that I left out. I do not know if the client is ASD, but the group appears to be helping him find that peace and growth. I am two years into the field and not qualified to diagnose. This has made me ask myself questions. There is another client showing a similar cycle.

Doctor Grande, why don't you explain if there is some sexual components in some disorders? Such as is it possible that someone can be OCD or OCPD because they want to hide some perversions they might have that don't want to reveal? I am asking you that because one counselor told my cousin that her husband had this OCD tendency because it was related to a suppression of his bi-sexual identity. It would be interesting also if you could do something on sexual abuse and Stockholm syndrome and the psychological effects on someone who was a victim of this kind of behavior. The same, I know someone who suffered from sexual abuse from her father and I wonder how is she inside, how do you cope with something like that?. Thank you for your work, greatly appreciate it . I am learning an awful lot. On the other hand, I must say, nothing to do with this but I would bet that C. Watts and his mistress had that relationship much longer than it is believed, it just doesn't fit . With only 5 weeks of having an affair and you go and kill your family? mmm, I don't think so, those two had that relationship way before that. It just does not fit. My regards to you Doctor Grande

I gain so much knowledge from your videos, Dr Todd 😀 Could you please talk about Tourettes Syndrome and is it related to OCD\OCPD?

Dr Grande, I've heard that patients with bipolar disorder are at a higher risk of postpartum depression and postpartum psychosis. Is that true? Also are any other mental illnesses more susceptible to these? And why?

Dr. Grande, I have a question: why narcs seem to easily accept serious blame/comments about him/herself from others, but when we have a mild/positive suggestion to them, they tend to have an unproportional anger?

Dr. Grande may i suggest a topic? How do compulsive obsessive disorders relate to manic disorders? Are they the same thing? I know i can google it but :) TY

Dr:Resetting password numerous time... Me:good Dr:...a day. Me:

Such a strange obsession with personal property at such a young age... A 10 year old wanting to get insurance on her personal property seems really unusual.

Hi Dr Grande, Could you provide information about depersonalization disorders and how to overcome being depersonalized?

My so-called "mother" had OCD, OCPD and was a Narcissist. Lots of fun!!

Can you please talk also about R(elationship)OCD?? I had the suspect that I might be one in the past, and what's the difference with other disorders who exhibit the same behavior? Thanks.

@RICKYMDOGG

4 жыл бұрын

I think if you are experiencing ROCD, you would have had symptoms previously that would have manifested as more traditional OCD, or in other types of 'Pure' OCD. What I mean is the mechanism is the same, it's just what your brain is deciding to focus on at that time. So it could be hand washing, your relationship, intrusive thoughts. Hope that is some help

@Bar_Bar27

4 жыл бұрын

@@RICKYMDOGG yep that makes sense. Thanks

Case studies helps us to understand better, thank you. Can you please explain us scrupulosity? It seems really hard to separate it from the actual rituels of belief. Morality is also relative. I have a friend who recently started to end relationships with old friends just because they are not "appropriate". I wonder what this is. Thank you very much for hard work and these videos.

I have pure-o ocd. For me, it’s like my mind is feeding me disturbing lies and if without treatment, it’s like my mind and body start to believe them to the point where they feel real. It’s really suffocating.

Thank you for your analysis of OCD. I have a long expirience with my son who was unsucesfuly treated of OCD. But, I have my opinion after all these years that this dissorder is very resistent. I believe it must have a spiritual source of dissorder...I might be wrong but I think that our chieldren are attacked from alien parasitic entities from higher dimension and they trend to have a control over our chieldren by maintaining great ansiety as panishment, so the victims must do anything to avoid being punished by stress and fear. So no cognitive or behavioral therapy deals efficiently with this kind of obssesion. It takes energy and feed itself with low frequency energy so that the wictim becomes depressed and exploited in dire manner. It's like cancer or mafia and it makes the wictims isolated from love and life. We should be aware and know who we are dealing with, becouse the obsessive thougts can be implanted only from alien source or a person who has this parasitic potential and ability to enter and take over control. We have no protection and we can't face this reality. We are controled with fear and ansiety. Every tree has parasites, like olive trees, there are 10 to 20 parasites that attack it so we must protect the tree from illness and parasites. The same with our chieldren...we must learn how to detect it and protect our vulnerable chieldren! They have clean energy and no awareness at all, so they become easy targets for parasites! My son have seen me and my wife being struck with tryhenolosis and he was afraid to loose us, his fear attracted negative parasites who offered him protection so he isolated from us and slamed the door. We became dangerous for his intruders so they pushed him against us. He stopped eating with us bevouse we might have infected him as we have eaten poisoned food before. There is inteligency in parasitic obsession! Best wishes and thank you for your analysis!

I am dealing with woman playing house manager OCPD over middle age. Her way or the highway she’s manipulative constantly giving me orders policing me trying to control me bussing me around rude impolite never says please nor thank you.From the first time I met her I tried to set boundaries.I find her dangerous because she is playing subtle mind games. I told her off - I wasn’t going to do things her way.She parked taken 1/4 of my space & ignored I rang the buzzer and didn’t open the gate for me to enter.Often making complaints intriguing to the home owner I don’t get work done;she wants me to do her work not my pet sitter job. She finds any task for me to do clean the walls ,a microwave or the sofa covers with just bleach and a brush. She has the owner with passive personality to ask me and he does. The roles are reversed she just knows how to pull the strings on him.She takes all her working hours cooking for just one person.if she doesn’t have ocpd then worse she is Borderline personality disorder.I told her the above and that I want to quit. Of course if I leave she will have a lot more work to do. So she tells we can try to work as a team and she sees no reason why it would not work.I told her even is she was the home owner I will not work under her supervision because my intuition tells me bad idea.

When I was six years old my stepmother left me in a doorway with a note saying not wanted

The solution becoming another OCD problem is very familiar!

Is there a hereditary factor in OCD / OCPD? Is there a correlation between OCD and IBS?

Is it bad that I completely understand her view on men being bad bc they have no respect for others and women being bad because they tolerate men that have no respect for others? I felt that in my soul.

@No-xs1no

7 ай бұрын

Same.

I'm curious what connection, if any, OCPD has with the hypervigilance associated with PTSD and whether people more prone to OCPD might be at a higher risk of developing PTSD. I had a housemate when I was in college that would check and recheck that windows and doors were locked at night. They were a vet who experienced physical trauma as part of a forward deployment (on one occasion but not as a result of a direct attack. Otherwise they had a relatively low stress deployment). A family member told me that they were "particular" their whole life, including the fact that they always put on their e-brake, even when driving an automatic and parking on a flat surface and would check and recheck that the car was in park. They would also always check they had the right paperwork (even though they were the only one who drove their car), and checked their tires before taking their car out, and made sure that the lights in their cab were "actually" turned off. They checked and rechecked to make sure they had their keys in hand before locking their doors. These are all relatively normal actions, depending on the circumstances and separate from each other, but when I knew them they had similar obsessions including a perimeter check of the property before they could go to bed and a dishwashing regiment that went on for a bit too long.

Is OCPD trauma based or due to childhood adversity? I had a female collague that meets all 8 of the 8 symtoms for OCPD. She is an absolutly control freak and also very judgemental, scheming, gossiping, lying, backstabbing, gaslighting and bullying. But sees herself as diplomatic and as an extremly effective worker with the most knowledge.

I’m curious, would cibophobia and emetophobia be types of OCD or would they be in the Specific Phobia category? Or something else?

@ElisaDay_

4 жыл бұрын

Diagnosed emetophobic here! It's quite different to obsessive compulsive disorders/behaviours and is a specific phobia :)

@SodaSpeakNow

4 жыл бұрын

yee yee thanks! I have cibophobia and I recognise some of the things in OCD in me but it does feel different. For you does emetophobia also come with social anxiety? Like being embarrassed of it happening? Or is it more like you just don’t like the feeling? If it is not too personal to share. I have a huge fear of throwing up but I wouldn’t say it is to the point of being irrational or extreme.

@ElisaDay_

4 жыл бұрын

@@SodaSpeakNow for me personally it's not a social anxiety, more of a straight up phobia of it happening in general, or any feelings or actions related to it happening. Kinda hard to explain in a comment its pretty irrational 😅 I'm sure its very different for each person though 😊