The symptoms of obsessive-compulsive personality include perfectionism, rigidity, an obsession with details, rules, and lists, inability or limited ability to show affection, and a lack of generosity. They may be unable to throw things away, even if those things have no apparent value. Those with this disorder are often overly devoted to work and do not like to allow other people to do things. They are high achievers and can become very upset when other people interfere with their routines.

Due to the high level of standards they set for themselves, they may be unable to complete tasks because they cannot live up to those standards. They become upset with others who also cannot live up to their standards. People with obsessive-compulsive personality disorder typically believe that their beliefs and actions are appropriate.

People with obsessive-compulsive personality disorder often have difficulty expressing emotion. They also tend to isolate themselves because they do not like working with others, as they become upset with others inability to live up to their standards. As a result, they may feel depressed later in life.

Treatment for this disorder is more effective than for other obsessive-compulsive disorders. It typically includes a combination of medication and cognitive-behavioral therapy. A combination of therapies, rather than only one approach, seems to be the most effective treatment. Serotonin reuptake inhibitors may help with obsessions and compulsions. "Talk" therapy and changes in behavior can also help treat symptoms.