A patient who shows a reluctance to delegate tasks due to a fear of losing control may have which disorder?

The recognition that the patient exhibits a reluctance to delegate tasks due to a fear of losing control is fundamental in identifying the characteristics of Obsessive Compulsive Personality Disorder (OCPD). Individuals with OCPD often strive for perfectionism and are preoccupied with orderliness, details, and control. This intense need for control can lead to difficulties in relationships and functioning, especially when it comes to delegating tasks to others, as they may fear that things will not be done correctly or to their standards.

In contrast, Narcissistic Personality Disorder is characterized more by a preoccupation with self-importance and a need for admiration, rather than a fear of losing control over tasks. Dependent Personality Disorder, on the other hand, involves a pervasive and excessive need to be taken care of, leading to submissive and clinging behaviors; individuals with this disorder might actually prefer delegating tasks but may do so due to fear of abandonment rather than fear of losing control. Histrionic Personality Disorder is defined by excessive emotionality and a need for attention, which does not align with the described reluctance to delegate tasks based on control issues.

Understanding these distinctions clarifies why the described symptoms align specifically with Obsessive Compulsive Personality Disorder.