Obsessive-Compulsive Personality Disorder (OCPD) in Older adults / Seniors

Key things to know What the evidence shows
How common is it? U.S. age 65+: 5.2%
Is it more common among older adults / seniors? Lower than younger adults, but OCPD remains relatively common
Are older adults / seniors at higher risk? Prevalence appears to decline with age
How much higher is the risk? 5.2% age 65+ vs 8.2% age 18–29
How often can it be missed? Very High
Does it show up differently among older adults / seniors? Strong Yes contextually
How might it look different? Longstanding routines/rigidity may intensify around loss of control, health or independence; ordinary preference for routine with age ≠ OCPD
What commonly occurs alongside it? Depression; anxiety; OCD
What can it be confused with? OCD; autism; cognitive disorders; normal routine preference
Common screening tool OCI-R – Obsessive Compulsive Inventory
Separate screening tool for older adults / seniors None established
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