The histrionic personality disorder is characterized by a pervasive pattern of excessive emotionality and attention search. Diagnosis is based on clinical criteria. Treatment is with psychodynamic psychotherapy.
(See also personality disorders overview.)
The histrionic personality disorder is characterized by a pervasive pattern of excessive emotionality and attention search. Diagnosis is based on clinical criteria. Treatment is with psychodynamic psychotherapy. (See also personality disorders at a glance.) Patients with histrionic personality disorder put her appearance into an inappropriate seductive or provocative way to attract the attention of others. They lack a sense of self-determination and they are very impressionable, often submissive to get the attention of others. It is estimated that about 1.5 to 3% of the population have a histrionic personality disorder; it is more common in women than in men. Comorbidities are common, especially other personality disorders (antisocial, borderline, narcissistic), suggesting that these disorders have in common a biological susceptibility, or that there is doubt whether the histrionic personality disorder is a separate disorder. Some patients also have a somatoform disorder, which may be the reason why they appear for examination. Major depressive disorder, dysthymic disorder, and conversion disorder can also co-exist. Symptoms and discomfort patients with histrionic personality disorder repeatedly require to be the center of attention and often become depressed when they are not. They are often lively, dramatic, enthusiastic, and flirtatious and sometimes charming new acquaintances. These patients dress and often act unreasonably, seductive and provocative, not only to potential romantic interests, but in many contexts (eg. As work, school). You want to impress others with their appearance and are often concerned with how they look. The expression of emotions can be flat (too fast on and off) and be exaggerated. They speak dramatically, express their opinion strongly, but with a few facts or details to support their opinions. Patients with histrionic personality disorder are easily influenced by others and by the current trends. They tend to be too trusting, especially with authority figures, of which they think that they would be able to solve all their problems. They often think relationships are closer than they really are. They yearn for novelty and tend to be easily bored. So they can change jobs and friends frequently. Delayed gratification is very frustrating for them, so their actions are often motivated by the desire to get immediate gratification. It may be difficult to achieve emotional or sexual intimacy. Patients can often without knowing it, play a role (eg. As victims). You can try to control their partners with seduction or emotional manipulation, as they are very dependent on the partner. Diagnosis Clinical criteria Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]) found. For a diagnosis of histrionic personality disorder, patients must have a persistent pattern of excessive emotionality and attention, as with ? 5 the following shown: malaise, if they are not the focus of attention interaction with others that is inappropriate sexually seductive or provocative quickly changing and shallow expression of emotions consistent use of physical appearance in order to draw the attention on himself language that is extremely impressionistic and vague Eigendramatisierung, theatrics and extravagant expression of emotions suggestibility (easy by others or situations affected) the interpretation of the relationship as intimate than they really are Furthermore symptoms in early adulthood must have begun. Differential Diagnosis The Histrionic personality disorders can be distinguished from other personality disorders on the basis of characteristic features: Narcissistic: patients seek with narcissistic personality disorder also for attention, but they want to dadurch- with histrionic personality disorder, unlike those – admired or feel increased; Patients with histrionic personality disorder are not as picky as to the kind of attention, and they do not care if they are regarded as sweet or silly. Borderline: Patients with borderline personality disorder see themselves as bad and experience intense and deep feelings, those who do not keep up with histrionic personality disorder itself for bad, although its dependence could come from the reaction of others from poor self-esteem. Dependent: patients with dependent personality disorder, histrionic personality disorder like this with, try to be close to others, but are more anxious, inhibited and submissive (because they are rejected worry); Patients with histrionic personality disorder are less inhibited and more extravagant. The differential diagnosis of histrionic personality disorder also includes the somatoform disorder and morbid anxiety disorder with one. Therapy psychodynamic psychotherapy The general treatment of histrionic personality disorder is the same as that of all personality disorders. Little is known about the effectiveness of cognitive behavioral therapy and drug therapy for the theatrical personality disorder. Psychodynamic psychotherapy that focuses on the underlying conflicts can be tried. The therapist can begin by applying the patient encourages language instead of behavior, and thus the patient can understand themselves and to communicate with others in a less dramatic way. Then the therapist can help the patient to see how their theatrical behavior is a maladaptive way to attract the attention of others and to deal with their self-esteem.