Explore practical insights and nuanced strategies for working with clients who have obsessive-compulsive personality traits. Drawing on 33 years of experience, this post addresses common challenges, misconceptions, and ways to foster meaningful change—while offering a behind-the-scenes look for those in therapy.

This is an extended interview in which endurance athlete, coach, and podcaster Travis Macy asks me about the driven personality and broader questions of well-being. Having set records in some truly astounding endurance races, Travis knows about perseverance, resilience and fortitude, all of which exist as potential in the obsessive-compulsive personality. We compare notes about competition, athletics, optimizing our energy, dealing with tension, and approaching our goals in a healthy way. We touch on developing a better relationship with the body, how mindfulness meditation actually helps, and how Chronic Urgency Stress Syndrome (CUSS) will drive us crazy if we don't hold what's most important foremost in our minds. 

This essay explores how perfectionist and obsessive-compulsive personalities construct “fortresses” to avoid humiliation, embarrassment, and shame. Through vivid stories and cultural examples—from Steve Jobs to Michael Jackson—it identifies four compulsive types (Boss, Workaholic, People-Pleaser, and Obsessor) and shows how their strategies both protect and imprison them.

Carl Jung famously wrote that the gods have become diseases. What he meant was that because we no longer consciously acknowledge the powerful forces we used to call gods and goddesses, they’ve gone underground and manifest in our physical and mental ailments. However unbelievable they might seem, they are still forces to be reckoned with. Such is certainly the case with Ananke, the Goddess of fate, compulsion and inevitability. People with a need to control can learn a great deal from her. 

Explore how compulsive perfectionism creates alienation, and the science-backed benefits of as sense of connection to something larger than yourself. And discover practical ways to restore a sense of connection with Nature and the Universe for greater peace and well-being.

To make a dent in the pile of material you might feel you have to read to be up on the most recent developments in mental health, here's a practical review of the relatively new approach to therapy called Acceptance and Commitment Therapy, with brief examples of how to apply it. Because one of the main goals of ACT is flexibility, it can be very helpful to anyone struggling with obsessive-compulsive personality disorder (OCPD), or to those just challenged by some obsessive-compulsive traits, perfectionism, workaholism, or Type A personality.

Anxiety dreams may seem simply like a nuisance at first glance. But slow down and pay attention and you might find they have something to tell you about how you are living and how you see your world. Issues of avoidance, authenticity, and being tested can all show up in anxiety dreams. Seen as a source of wisdom, these dreams can lead you in new directions should you choose to engage with them. 

Creativity may be one of the most fulfilling activities we have. Unless it’s blocked. Then the desire to be creative can feel like torture. But there are ways to get unblocked. In this episode we will talk about the possible benefit of compulsive urges, and the destructiveness of obsessive thinking. We’ll look at how the avoidance of feelings of anxiety and insecurity becomes a block. And we’ll look at the positive benefits of being in the present moment, and personifying The Blocker can be helpful. 

Seriousness is an occupational hazard for obsessive-compulsives, Type A's and perfectionists. Being serious can hurt relationships, mental health and physical health. Yet many of us feel duty-bound to be serious, and we lose out on the benefits of humor and laughter--which can melt the rigidity which comes with being so serious.  

 What happens when a rigid devotion to rules, order, and perfection replaces our ability to feel, connect, and live? In this episode, we explore two moving character studies from Fredrik Backman’s novels A Man Called Ove and Britt-Marie Was Here. Through Ove and Britt-Marie—both fictional but deeply familiar—we see the beauty, heartbreak, and potential of the obsessive-compulsive personality. These stories show what can go wrong when emotional life is outsourced or buried—and what can go right when we begin to reclaim it. From tragic emotional isolation to unexpected transformation, this conversation offers insight, humor, and hope for anyone trying to loosen the grip of perfectionism.