Zoom Meeting: OCPD & List Making 📒

Break out your best notepad and writing utensils because we’re about to make some lists! 😋 It brings me a special kind of joy that the DSM decided to place “Is preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost.” as the first of eight possible diagnostic criteria for OCPD. They really started the list off strong by acknowledging how much those of us with OCPD value lists… and also have a tendency to miss the forest for the trees! 😅

But why do we care about lists, order, and schedules so much? I can’t wait to explore everyone’s personal reasons during our meeting. Until then, here’s what ChatGPT suggests.

ChatGPT Response

Prompt: Why do people with OCPD make lists?


People with Obsessive-Compulsive Personality Disorder (OCPD) often make lists as a way to feel in control, reduce anxiety, and create structure in an overwhelming or unpredictable world. List-making serves several psychological functions that align with the core traits of OCPD:


🧠 1. Need for Order and Perfection

OCPD is characterized by a preoccupation with orderliness, rules, schedules, and perfection. Lists offer:

  • A tangible sense of control over tasks or thoughts.
  • A way to externalize mental clutter into something that can be organized, refined, and completed.

😰 2. Anxiety Reduction

People with OCPD often feel intense internal pressure to do things the “right” way. Lists help:

  • Alleviate anxiety about forgetting something important.
  • Create the illusion of predictability and certainty, which soothes the fear of chaos or failure.

📋 3. Moral Rigidity and Responsibility

Many people with OCPD experience their tasks as moral obligations—not completing them can feel like a personal failure. Lists become:

  • A way to track moral worth via productivity or “doing the right thing.”
  • A daily scorecard of achievement or evidence of being a “good” and responsible person.

⚖️ 4. Difficulty with Flexibility

Spontaneity and uncertainty can be deeply uncomfortable for people with OCPD. Lists offer:

  • Structure to their day, minimizing the need to improvise.
  • A sense of preparedness, reducing stress around potential disruptions.

🌀 5. Compulsion Toward Completion

There’s often a compulsive quality to the way people with OCPD approach tasks. Unfinished items can cause distress, and lists become:

  • A tool for tracking incompletions they feel compelled to resolve.
  • A way to measure progress, which feels deeply tied to self-worth.

A Note on Self-Awareness

If someone with OCPD becomes aware of how list-making can dominate their life or keep them from being present or spontaneous, it can be helpful to reframe the behavior:

  • Use lists as guidelines, not commandments.
  • Practice “good enough” thinking rather than perfectionism.
  • Allow flexibility for joy, rest, or unstructured time.

ChatGPT Practical Exercises:

Moving away from rigid list-making and the need for order can feel scary at first, but even small steps can open the door to more ease, flexibility, and joy. Here are 5 gentle, practical exercises designed for someone with OCPD who wants to loosen the grip of control without losing their sense of grounding:


1. The “Messy To-Do” List

What to do:
Instead of a traditional bullet-point list, write your tasks as a stream of consciousness. Let it be messy, disorganized, and even silly. Don’t number, categorize, or prioritize anything.

Why it helps:
It’s a soft exposure to imperfection. You still get to write things down (a comforting ritual), but it challenges the compulsion for order and polish.


2. “Spontaneity Hour”

What to do:
Schedule one hour each week (or even 10 minutes to start) where you intentionally don’t plan anything. When the time comes, ask yourself, “What do I feel like doing right now?” Then do that—without judgment.

Why it helps:
This gently strengthens your capacity to tolerate uncertainty, trust your instincts, and make space for desire rather than duty.


3. One Task Left Undone

What to do:
Pick one item on your to-do list and intentionally leave it unfinished for a day. Sit with the discomfort and observe the thoughts that come up—without acting on them.

Why it helps:
This is exposure therapy for the belief that everything must be completed to feel safe or worthy. You’re building tolerance for “good enough.”


4. Creative Play Without Goals

What to do:
Choose a creative activity (drawing, dancing, singing, collage, etc.) and do it with no rules, no goals, and no end product in mind. Just let yourself play.

Why it helps:
OCPD often disconnects people from joy and spontaneity. Play reactivates parts of the brain that thrive on exploration rather than achievement.


5. The “Let It Be” Practice

What to do:
Once a day, notice something that’s “imperfect” (e.g., a crooked picture frame, an unswept floor, an unread email) and choose to leave it as it is. Say to yourself: “It’s allowed to be imperfect. I can let this be.”

Why it helps:
This builds muscle memory for acceptance and non-intervention, weakening the automatic drive to fix or optimize everything. often develop from a need for safety, acceptance, or structure in a chaotic or emotionally barren environment.

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