OCD and Personality Disorders

As promised in a previous post, I will go into a bit more detail about the whole therapy situation. 

A little while ago, the psychiatric team figured out why my OCD improves for a while and then comes back, so they did some tests, and I met the criteria for a personality disorder. Unfortunately, my OCD is taking up too much space right now for a psychologist to determine which personality disorder I have. The plan was for my OCD to get better, so a specialist would be able to determine which one it is, but since then, my physical health has massively declined - I struggle to walk at this point. So, a new plan, as I mentioned earlier. My physical health needs to improve, and then when I'm better, I will return to therapy. 

So how does a personality disorder actually affect OCD? 

OCD isn't just about the intrusive thoughts and compulsions themselves. Recovery also depends on how a person manages emotions, relationships, stress, self-image, and uncertainty. Personality Disorders can affect many of those areas, which means they can sometimes make OCD much harder to treat. For example, if someone struggles with emotional regulation, they may experience stress and anxiety much more intensely. Since anxiety often fuels OCD, this can make obsessions feel stronger and compulsions harder to resist.

Looking back, it makes a lot of sense why my OCD would improve for a while and then suddenly become much worse again. We were treating the OCD symptoms, but there may have been a deeper issue underneath that wasn't being addressed yet.

That doesn't mean recovery is impossible. If anything, it means there is finally another piece of the puzzle. Understanding what is really going on gives me a better chance of finding the right treatment and making lasting progress in the future.