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Histrionic Personality Disorder: An Overview

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Written by Shwetha Jois

Histrionic Personality Disorder (HPD) is characterised by a mode of expressing emotions that are dramatically amplified and an uncontrollable desire to be the centre of attention. People with HPD need to be the centre of attention, and thus they create dramatic, seductive, or theatrical behaviours at work or in other interpersonal relationships. Knowledge about HPD is important in identifying, diagnosing, and treating this disorder further. 

What is Histrionic Personality Disorder? 

Histrionic Personality Disorder (HPD) is a type of mental disorder that reflects exaggerated emotions along with attention-seeking behaviours. HPD people do not find it comfortable to be ignored and may act in a commanding, energetic, or sexually provocative manner. 

How Common is HPD? 

HPD is relatively rare, affecting an estimated 1.8% of the general population. However, since this is a rare disorder, it is important to study and manage this mental disorder due to the sensitivity it causes in the lives of the persons affected. 

Who does Histrionic Personality Disorder Affect? 

HPD is a disorder that can be found in any age or gender and is not limited to any background. Indeed, it is more prevalent among women than among men. As for the onset of HPD, it is experienced most frequently during late adolescence or early adulthood. 

Misconceptions and Myths of Histrionic Personality Disorder 

Other myths include that people with HPD just want attention. On the contrary, their behaviours are elicited by emotions that they have, including their needs and even their insecurities. The last of the misconceptions is that people with HPD and narcissistic personality disorder are the same; however, these disorders differ in traits and motives. 

Symptoms of Histrionic Personality Disorder 

HPD symptoms involve pervasive emotionality and attention-seeking behaviours, including dramatic displays and discomfort. When they are not the centre of attention, it can significantly affect interpersonal and professional relationships. 

Emotional and Behavioural Symptoms 

HPD can take a heavy toll on interpersonal relationships. Despite their relational problems, individuals with the disorder may continuously seek validation and more quality attention rather than affection. Their need for positive reinforcement and approval can cause disagreement and miscommunication. 

Impact on Relationships 

HPD can significantly strain personal relationships. Those with the disorder may struggle to form genuine, lasting connections, often prioritising attention and approval over intimacy. Their need for constant validation can lead to conflicts and misunderstandings. 

Social and Occupational Impacts 

Finally, in social and working contexts, people with HPD are regarded as excessively emotional or sexually provocative. They can cause problems in the workplace environment and stagnate their career advancement, causing them to have difficulty finding steady work or making stable friendships. 

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Causes and Risk Factors of Histrionic Personality Disorder 

There is evidence which shows that HPD is caused by factors such as genetics, childhood experiences, and environmental disorders, which ensure that the personality disorder develops. 

Genetic and Biological Factors 

However, there have been claims regarding the heritability of HPD, implying that HPD could be partly caused by genetic factors. It is also an ailment commonly caused by a biological factor such as hormonal imbalances. 

Environmental and Psychological Influences 

HPD is determined by endogen factors, including childhood experience and parental rearing. People who grew up in homes where they feel they get either too much attention or none seem to be at higher risk of developing the disorder. 

Early Childhood Experiences 

Childhood abuse, neglect, or even excessive care and attention are other factors that can lead to the development of HPD. These experiences can cause an individual to develop certain feelings and behaviours in the later stage of their life. 

Diagnosis and Tests of Histrionic Personality Disorder 

The diagnosis of HPD requires an assessment from a qualified mental health practitioner. This evaluation commonly involves structured interviews, direct observation, and the administration of DSM-5 criteria. This is because HPD has symptoms that resemble other personality disorders and mental illnesses, which means the diagnosis must be as accurate as possible. 

Histrionic Personality Disorder Treatment Options 

Treatment of HPD entails the use of both psychotherapy and pharmacotherapy. Specific treatment strategies are designed to address the symptoms, mood and emotional control, and interpersonal functioning of people with HPD. 

Psychotherapy and Its Benefits 

Psychotherapy is considered the main treatment process for HPD. CBT and psychoanalytic therapy assist a person in understanding determinants of behaviours, suitable ways of handling stress, and regulating mood 

Challenges in Treatment 

Individuals with HPD present diagnostic and therapeutic issues because of its focus on gaining attention and approval through manipulation. The formation of realistic expectations, the quality of the therapeutic bond, and facilitated, sustained, and well-organized sessions are important. 

Medication 

It is important to understand that while there is no known cure for HPD to date, some medications can be effective in treating other related disorders, such as depression or anxiety disorder. Antidepressants and anti-anxiety drugs are also used to help manage some of the symptoms in addition to other therapy approaches. 

Living with Histrionic Personality Disorder 

Adapting to the existence of HPD involves daily dealing with extraordinary emotional needs and self-centered actions. Adjustment strategies, using mental health services, and maintaining linkages with friends and family should be seen as fundamental to a healthy existence. 

Coping Strategies and Support 

Since people with HPD may experience stress anxiety and adjust to reacting to their emotions, they need to learn coping mechanisms. It may encompass elements such as stress-reducing strategies, focusing on the present, and being aware of one’s feelings and actions. 

Seeking Professional Help 

Probably, the most crucial aspect of the recovery process is the client’s decision to seek assistance from a professional. Depression is a common illness, and licensed mental health practitioners can offer pertinent treatment procedures and coping mechanisms for clients who are experiencing such symptoms. 

Building a Support Network 

Developing a strong foundational system of loved ones such as family and friends, as well as therapists, can also help tremendously. Receiving support and approval from the people one cares about may contribute greatly to the improvement of the treatment process. 

Defeat Histrionic Personality Disorder with Cadabam’s 

Cadabam’s focuses on the complete and empathetic treatment of patients diagnosed with Histrionic Personality Disorder. We have a qualified team of mental health workers which enables us to develop an individual treatment plan for every patient. Using counselling, support groups, and complementary treatments, we have the tools to help people with HPD live normal lives free of the mental instability that characterises the condition. 

If you are searching for a solution to your problem, Cadabam’s Rehabilitation Centre can help you with its team of specialized experts. We have been helping thousands of people live healthier and happier lives for 30+ years. We leverage evidence-based approaches and holistic treatment methods to help individuals effectively manage their Histrionic Personality Disorder. Get in touch with us today. You can call us at +91 96111 94949

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FAQs 

1. How can you tell someone they have histrionic personality disorder? 

Remember that you are dealing with a person who needs your support, and that’s why you should be gentle and understanding. Focus on the behaviours in question and state that it would be important to seek an assessment from a professional for a better understanding and management.  

2. Is HPD a mental illness? 

Yes, Histrionic Personality Disorder is a mental disorder that involves intense, dramatic emotional expressions and attention-seeking behaviour causing distress and impairing functioning in different aspects of life and relationships. 

3. What is the main cause of HPD? 

The primary contributors to the development of HPD are the inherited background as well as the exposure to specific environmental factors, which influence the patterns of the underlying emotional and behavioural issues of the disorder. 

4. Can HPD be cured? 

As for HPD, it cannot be ‘cured’ in the disregarded sense. However, with the help of psychotherapy, the severity of the symptoms, the ability to control one’s emotions, and the overall quality of life in patients with HPD can be enhanced. 

5. How is HPD different from other personality disorders? 

HPD is distinct in its focus on attention-seeking and dramatic behaviour. Unlike other personality disorders, it specifically involves excessive emotionality and a pervasive need to be the center of attention. 

6. What are common misconceptions about HPD? 

Some of the misconceptions include that people with HPD are just attention-seekers. They are just pretending and are mere attention seekers. To be specific, HPD represents functional, emotional requirements and anxiety related to their actions. 

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