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Histrionic Personality Disorder

By: rocker_puneet | Posted Apr 13, 2011 | General | 540 Views | (Updated Apr 13, 2011 10:19 AM)

I'm sure every one of us has come across such a person at least once in our lives. They may be our friends, acquaintances or family, but nonetheless they are all around us. This is just what I found online about the condition. Hope the people who suffer from this condition find some help. They need help.


Histrionic personality disorder (HPD) is defined by the American Psychiatric Association as apersonality disorder characterized by a pattern of excessive emotionality and attention-seeking, including an excessive need for approval and inappropriate seductiveness, usually beginning in early adulthood. These individuals are lively, dramatic, enthusiastic, and flirtatious.


They may be inappropriately sexually provocative, express strong emotions with an impressionistic style, and be easily influenced by others. Associated features may include egocentrism, self-indulgence, continuous longing for appreciation, and persistent manipulativebehavior to achieve their own needs.


Characteristics


People with this disorder are usually able to function at a high level and can be successful socially and professionally. People with histrionic personality disorder usually have good social skills, but they tend to use these skills to manipulate other people and become the center of attention.Furthermore, histrionic personality disorder may affect a person's social or romantic relationships or their ability to cope with losses or failures.


People with this disorder lack genuine empathy.They start relationships well but tend to falter when depth and durability are needed, alternating between extremes of idealization and devaluation. They may seek treatment for depression when romantic relationships end, although this is by no means a feature exclusive to this disorder.


They often fail to see their own personal situation realistically, instead tending to dramatize and exaggerate their difficulties. They may go through frequent job changes, as they become easily bored and have trouble dealing with frustration. Because they tend to crave novelty and excitement, they may place themselves in risky situations. All of these factors may lead to greater risk of developing depression.


Additional symptoms include:


Exhibitionist behavior.


Constant seeking of reassurance or approval.


Excessive dramatics with exaggerated displays of emotions, such as hugging someone they have just met or crying uncontrollably during a sad movie (Svrakie & Cloninger, 2005).


Excessive sensitivity to criticism or disapproval.


Inappropriately seductive appearance or behavior.


Somatic symptoms, and using these symptoms as a means of garnering attention.


A need to be the center of attention.


Low tolerance for frustration or delayed gratification.


Rapidly shifting emotional states that may appear superficial or exaggerated to others.


Tendency to believe that relationships are more intimate than they actually are.


Making rash decisions.


Causes


The cause of this disorder is unknown, but childhood events such as deaths in the immediate family, illnesses within the immediate family which present constant anxiety, divorce of parents and genetics may be involved. Histrionic Personality Disorder is more often diagnosed in women than men; men with some quite similar symptoms are often diagnosed with narcissistic personality disorder.


Little research has been conducted to determine the biological sources, if any, of this disorder. Psychoanalytic theories incriminate authoritarian or distant attitudes by one (mainly mother) or both of the parents of these patients, or love based on expectations from the child that can never be fully met.


Treatment


Because of the lack of research support for work on personality disorders and long-term treatment with psychotherapy, the empirical findings on the treatment of these disorders remain based on the case report method and not on clinical trials. On the basis of case presentations, the treatment of choice is psychotherapy and/or cognitive-behavioral therapy, aimed at self-development through resolution of conflict and advancement of inhibited developmental lines. Group therapy can assist individuals with HPD to learn to decrease the display of excessively dramatic behaviors, but must be closely monitored because it may provide the person with an audience to play to (perform for), thus giving opportunity to perpetuate histrionic behavior.


Family therapy


Medications


Alternative therapies


Cognitive behavioral therapy


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