### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have been in a relationship for 6 years with someone who fits the description of narcisstic personality disorder and OCD. He is never wrong, shows no empathy or remorse and does selfish and impulsive acts without consideration of the consequences to others. I am always put down and made to feel worthless. When he does something wrong it is somehow turned on me that I caused the problem and Im the one treating him poorly, even wen I go out of my way to do a favor he is very ungrateful. This began some years ago he isnt the same person and it has been occurring for 5 years. He has lied and keeps things from me. When he asks me a question he automatically believes Im lieing.  He also has compulsions to wash his hands and repetivly do things a certain amount of times such as flicking the light switch, turning the bathroom tap, standing up and sitting down a certain number of times before he sits and Im always asked to repeat a sentence he has said if I dont get every word correct he becomes agitated and angry. Does he have a personality disorder, if so how do I approach him about it as he is very defensive and proud?

### output:

Hello, The symptoms you mentioned are suggestive of OCD and personality disorder.may be mixed type. It is difficult to treat personality disorders as they don't feel they require anything usually. The parents of such people (who have some authority over them) can make them go to doctor forcefully. You can however try to make him realize that his repetitive actions are suggestive of OCD and make him read some literature on it (on net)- this may trigger some realization in him, and he goes for treatment. Such personalities have the tendency to blame and trouble people who are near to them and whom they can command all time; they can.be thankless because they can't relate with other feelings. Always obeying them and fulfilling their demands will only make them behave like this more. Hope you understand the issue.