After years of avoiding a clinical diagnosis (I declined hearing a diagnosis for the first time 6 years to the month, to be precise) I finally had enough of the deleterious effects of my idiosyncrasies on my relationships and started looking for help to systematically compensate for whatever it is going on in my head.
It seems highly likely, according to my clinician and myself, that the specific diagnosis for me is "Obsessive-Compulsive Disorder".
It's probably not much of a surprise to anyone who's ever known me intimately, like the girl I broke up with in September after we'd been dating for a month. She said "you remind me of one of my friends, he has obsessive-compulsive disorder. Do you think you might be obsessive and compulsive?"
"Obsessive, sure, but only about the stuff I care about."
"What stuff do you care about?"
"Doing things correctly, making sure stuff is right. My health, a lot of stuff."
"Like doing what correctly? What's right? You don't go to the gym, what do you mean your health?"
"I don't want to talk about this, it's complicated." And then I stopped calling her and never saw her again.
She was pretty, I liked the way the space between her breasts smelled, the really subtle accent she had and the way she insisted I eat her cooking.