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Histrionic Personality Disorder

William G. Elder, PhD and Sarah Nester, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Histrionic personality disorder (HPD) is one of the cluster B personality disorders (PDs).

  • HPD is characterized by persistent and excessive emotionality and attention seeking that dev...

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

  • Frequently, people with this disorder do not seek psychological help because they lack in insight into their condition. They may have achieved some success due to social influence and manipu...

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
Powers A, Strube MJ, Oltmanns TF. Personality pathology and increased use of medical resources in later adulthood. Am J Geriatr Psychiatry.  2014;22(12):1478–1486. [View Abstract on O...

ADDITIONAL READING

Three movies richly depict the needs and relationships seen in histrionic personality: A Streetcar Named Desire, My Favorite Year, and Blue Sky

CODES

ICD10

F60.4 Histrionic personality disorder 

ICD9

  • 301.50 Histrionic personality disorder, unspecified

  • 301.59 Other histrionic personality disorder

SNOMED

55341008 Histrionic personality disorder 

CLINICAL PEARLS

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

  • Cultural differences in emotional expre...

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