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Histrionic Personality Disorder

William G. Elder, PhD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Histrionic personality disorder (HPD) is one of the cluster B personality disorders (PDs) recognized in DSM-V.

  • HPD is characterized by persistent patterns of excessive emotionality an...

DIAGNOSIS

  • The diagnosis is made when the individual meets the criteria for the disorder according to the DSM-5, indicated by the presence of ≥5 of the following symptoms, which must be present in a va...

TREATMENT

  • HPD treatment consists of counseling and therapy, which can be challenging for both patient and provider because HPD behaviors are perceived by the patient to be “normal” and “right.” Patien...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Psychotherapy 

Patient Monitoring

  • If the patient is on a pharmacologic regimen, initial monitoring should be frequent (every 2 weeks) to evaluate the effectiveness,...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. [View Abstra...
Elder WG. Personality disorders. In: South-Paul J, Matheny SC, Lewis EL, eds. Current Diagnosis and Treatment in Family Medicine. 5th ed. New York: Lange-McGraw Hill, 2020. ...

CODES

ICD10

  • F60.4 Histrionic personality disorder

SNOMED

  • 55341008 Histrionic personality disorder

  • 38924009 Histrionic character

  • 248023002 Histrionic behavior

CLINICAL PEARLS

  • HPD is characterized by persistent patterns of excessive emotionality and attention seeking, deviating from one’s culture and social environment.

  • Patients with HPD focus on feelings and...

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