Psych Series: #2

#2: Histrionic Personality Disorder

Histrionic Personality Disorder is characterized by colorful, dramatic, and extroverted behavior in excitable, emotional people (Kaplan & Sadock, 1998). People with these disorders have intense, unstable emotions and distorted self-images. People with this disorder often base their self-esteem on the approval of others and does not arise from a true feeling of self-worth. This disorder is more common in women than in men and is usually evident by early adulthood.

Signs & Symptoms

• Usually have good social skills, but tend to use these skills to manipulate others so that they can be the center of attention.
• Be uncomfortable unless he or she is the center of attention.
• Dress provocatively and/or exhibit inappropriately seductive or flirtatious behavior.
• Shift emotions rapidly.
• Act very dramatically as though performing before an audience with exaggerated emotions and expressions, yet appears to lack sincerity.
• Be overly concerned with physical appearance.
• Constantly seek reassurance or approval.
• Be gullible and easily influenced by others.
• Be excessively sensitive to criticism or disapproval.
• Have low tolerance for frustration and be easily bored by routine.
• Not think before acting, make rash decisions.
• Be self-centered and rarely show concern for others.
  
• Have difficulty maintaining relationships, often seeming fake or shallow in their dealings with others.
• Threaten or attempt suicide to get attention.

Treatment

Generally people with histrionic personality disorder do not believe that they need therapy or treatment. Treatment plans are difficult for these people as they tend to exaggerate their feelings and dislike routine. People with this disorder may seek treatment for a symptom, such as depression, if the symptom causes them distress.

• Psychotherapy - generally the treatment of choice. This counseling-type therapy helps the individual uncover motivations and fears related to his or her thoughts and behaviors. It also helps the person learn how to relate to others in a more positive way.
  
• Medication - may be used to treat individual symptoms, such as depression or anxiety.

Outcome

Many people with histrionic personality disorder are able to function socially and at work. Those with severe cases may experience significant problems in their daily lives. Those who deal with this disorder daily may benefit from treatment, allowing them to learn more productive & positive ways of dealing with life's situations.

If you or a loved one are dealing with histrionic personality disorder, you can find more information through NIMH (National Institute of Mental Health), the Cleveland Clinic Foundation, or your local psychiatric health care provider.

Wishing you good health and good luck!