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Individuals with Cluster C personality disorders often exhibit nervous and fearful behaviors. This cluster comprises avoidant, dependent, and obsessive-compulsive personality disorders. It is important to distinguish obsessive-compulsive personality disorder from the separate diagnosis of obsessive-compulsive disorder (OCD).

Personality Disorders Cluster C

Otherwise known as Cluster C personality disorder, this disorder is characterized by extreme shyness, socially inhibited behavior, feelings of inadequacy, and fear of rejection and criticism. To avoid rejection, a pattern of avoidance is displayed, resulting in social isolation. Often, this disorder coincides with social anxiety disorder. Some symptoms include anhedonia (lack of enjoyment in activities), social anxiety, avoiding social situations (like conflict and relationships), feelings of inadequacy, and constant fear of disapproval.

Avoidant Personality Disorder

Characterized by a dependency on others and anxiety experienced when alone. Individuals with this disorder have an excessive need to be cared for, often seen as clingy and needy, and cannot function without others. An anxious disorder, some of the symptoms include submissive behavior, fearing rejection and abandonment, desiring constant reassurance and contact from others, and having a strong sensitivity to criticism and rejection. 

Dependent Personality Disorder

Obsessive-Compulsive Personality Disorder (OCPD) is characterized by an obsessive desire and preoccupation with things being neat and orderly to the point of inflexibility. It is an ego-syntonic disorder.

Some symptoms include: 
- rigid adherence to rules
- perfectionistic attitude
- failure to relinquish responsibility to others
- constant desire for control
- frugality
- hoarding

A disorder is proclaimed when these traits interfere with someone’s ability to function, and simply having some of these traits is insufficient for diagnosis.

Obsessive-Compulsive Personality Disorder

Some of the goals of radically open dialectical behavior therapy (RO DBT) that differ from traditional dialectical behavior therapy (DBT) include:
- Encourage independence of action and opinion, emphasize self-enquiry and self-discovery
- Primary therapeutic focus is external: social-signaling, openness, and social connectedness skills
- Teach clients to increase openness, flexible responding, enhance social connectedness, and vulnerable expression of emotion
- Emphasize self-enquiry and self-discovery rather than impulse control
- Target bio-temperament with specific skills via activation of neural substrates

Goals of Radically Open Dialectical Behavior Therapy

- Developed for overcontrolled clients with cluster A and C personality styles
- Used to treat avoidant, obsessive compulsive, paranoid and schizoid personality disorders, but also chronic depression and anorexia nervosa
- Used for clients with avoidant attachment styles
- Core problems of clients include social signaling deficits, low openness, and aloofness

Purpose of Radically Open Dialectical Behavior Therapy

A manager is described by their employees as being extremely rigid. They insist that every project must follow a precise, multi-step process, often getting so lost in the details that deadlines are missed. The manager rarely delegates important tasks, believing that no one else can meet their high standards. They sacrifice evenings and weekends for work, not because of a heavy workload, but due to re-doing tasks to their own exacting specifications. Based on this pattern of behavior, which of th

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