Is OCD hereditary?

Hi doctor,

I got married before 1-1/2 years. By seeing the aggressive behavior of my wife, I took her to a hospital in my town and she was diagnosed with OCPD, EUPD and anger dis-control from childhood. She refused to accept the disease and apprehended to take the medicine. We have been attending the marital counselling session too but without any improve in her condition. I would like to mention few of her behaviour conditions to make you realize the importance of my query. She is finding very difficult to trust people. Extreme suspicious behaviour towards all including me and easily lies on anything and make the conversation complicated. She is emotionally cold towards others and no sense of guilt even if she gets angry on small issues or when committed any mistake. She suffers from mood swing with anger outburst. She slaps herself and bang her head against wall. She believe that she has a sixth sense and prejudge the people by telling something bad is going to happen. She behaves overemotional, dramatic, irrational reasoning and weeping without tears. She has fear of locking herself in toilet or room. So, she will keep the door open at home or outside. She suffers with forgetfulness and unable to concentrate on anything. She used to keep re-checking the things in kitchen. She used to keep things in order and gets very disturbed and upset if things are not in the place. Feel dirt everywhere and keep on cleaning. She is reluctant on spending money. Despite having hand dermatitis she carries a wet cloth whole day and clean and urge to wash hand repetitively. From 8 AM to 4 PM she will be engaged in household job, But, she do not feel to take rest or sleepy in noon or at night. Once she is exhausted physically and mentally then only she feels sleepy. Her sleep problem urge her watching horror or investigative movies late night. She often gets sad and scary dreams and murmurs at night to herself. She imagines images whenever she is alone and trying to hold the imaginary figure in air and talk to them. She gets negative depressive thoughts often and suicidal threat whenever in anger. I request you to evaluate her condition based on the above and provide further line of treatment accordingly. My further request is to perform personality test if required to confirm her actual personality disorder or any other available tool for her assessment and plan the treatment accordingly. My doubts are, is this ailment hereditary and spread to my kids too? Is this a completely curable one? In her current state of mind when she is not accepting her ailment and occasional anger outburst and suicidal threat, what could be the severity of her disease in future? What should be the future course of management for her? I would appreciate your insight and further assessment. Thanks.

Hi doctor,

She is facing the following problems since young age. Her indications of anger on little issues and repetitive working behaviour pattern of arranging things in order and keep cleaning things. Confrontation and trying explaining on each and every act she does to other and try proving hard or justifying herself that she is right and others are wrong. She is trust deficit. She behaves abnormally by the way of handling anger by locking herself in a bed room for one or two days. I am observing her since day 1 of my marriage. She has severe eating disorder and rigid behaviour. Because of her psychological issues like hitting herself if something goes against her will and giving occasional suicidal threat somehow I convinced her to visit psychiatrist and there OCPD and EUPD was diagnoed. Based on the symptoms narrated she was also diagnosed anger dyscontrol. I cannot plan family in this state of her mind. I am living with my quite old aged parents. Despite their ill medical condition, my wife argue loud and rudely. She will keep restraining either my mother or anyone attending any kitchen job and address my father in very insensitive manner. Towards me again she holds lots of suspicion. She is checking my mobile daily to know whom I am talking to. I am in real estate business and operating from home on call. When I go out she feels very distress and uneasy and keeps on calling and messaging me till the time I am back home. I am in stress which is affecting both my personal and professional life. I have tried all the available options like counselling, meeting psychologist, etc. Still after all the sessions, she feels the problem is with others not with her. Please guide me to deal with it and to convince her to take proper treatment. I am losing my patience. As anything could happen to parents who are in severe stress or to my wife who can harm herself as she mention out of anger, it is really worrisome to see the family like this. Is there any permanent relief for this condition through medicine?