What role does cognitive-behavioral therapy (CBT) play in the management of OCPD?

Role of Cognitive-Behavioral Therapy (CBT) in Obsessive-Compulsive Personality Disorder (OCPD)

The provided UK guidelines specifically address the use of cognitive-behavioral therapy (CBT) in the management of obsessive-compulsive disorder (OCD) and body dysmorphic disorder (BDD), but do not explicitly discuss CBT for obsessive-compulsive personality disorder (OCPD).

However, given the close relationship between OCD and OCPD in terms of obsessive and compulsive features, CBT—particularly approaches including exposure and response prevention (ERP) and cognitive therapy adapted for obsessive symptoms—is a cornerstone in managing obsessive-compulsive symptoms in OCD and may be extrapolated as beneficial in OCPD management.

CBT for OCD involves structured interventions targeting obsessive thoughts and compulsive behaviors, with adaptations for severity and functional impairment, including low-intensity and more intensive formats, family involvement, and home-based or remote delivery when necessary.

While the guidelines do not directly address OCPD, the principles of CBT focusing on cognitive restructuring and behavioral modification of obsessive-compulsive patterns are likely relevant in OCPD treatment, though specific evidence and recommendations for OCPD are not provided in this guideline.