My therapist said I have OCPD as well as OCD and it sent me in a downward spiral to where I had a hard time sleeping last night. Now I think I’m having intrusive thoughts about OCPD and worried my therapist is damaging me. The problem is that this is sort of an unanswerable question that can fuel obsessive doubt, which I already do, but if I do have OCPD, that seems like something I would NEED to know. It’s like a catch 22 for OCD, because ‘needing to know’ is a problem, but not knowing whether I have OCPD or not has big implications, I would imagine, on my treatment/prognosis. If anyone has useful suggestions on how to deal with this it’d be a huge help, because maybe these are just new intrusive thoughts and I just need to do an exposure on it, or maybe I need a another professional opinion.

I would bring up that last part as well. "You know, you keep mentioning OCPD. No one really explained that diagnosis or how it impacts my treatment plan. I feel really alienated when it's mentioned, like it's being used against me. Can we talk more about it?"

Right, and I started to not trust them because I kept not getting better through therapy, or realizing I was getting worse. I started getting hyper-critical—if they said something I didn’t agree with, or If they suggested something that didn’t make sense I thought they were incompetent. Looking back I’m thinking I was afraid they were incompetent, but it could also just be an instance of black and white thinking, which is common in OCD. I’m also aware when I’m being critical, so it’s not like I don’t question it... what I gleaned from OCPD was that people with it generally don’t think they have a problem, they don’t generally seek therapy, aren’t generous, etc., which I don’t feel describes me. But now I’m getting worked up and not trusting my therapist and wanting to jump ship, which I’ve done a lot. It’s scary putting your care in someone else’s hands, especially with OCD, because the disease is so vulnerable to suggestion. I’d imagine someone with OCD getting falsely diagnosed would be a horrible experience regardless of the diagnosis.

@fma06 Thanks :)