Histrionic Personality Disorder (HPD) is a mental health condition characterized by a pattern of seeking attention, excessive emotionality, and a strong desire to be the center of attention. Individuals with HPD often engage in behaviors aimed at drawing attention to themselves and may experience significant distress when they are not the focus of attention.

Symptoms of Histrionic Personality Disorder

HPD is classified as a Cluster B personality disorder. People with HPD may exhibit the following symptoms, as provided by Cleveland Clinic:

• Attention-Seeking Behavior: Consistently seeking approval or reassurance from others.

• Excessive Emotions: Displaying emotions that are exaggerated or shallow.

• Inappropriate Seductive Behavior: Engaging in provocative or inappropriate behavior to gain attention.

• Rapidly Shifting Emotions: Experiencing emotions that change quickly and are often shallow.

• Overemphasis on Physical Appearance: Placing high levels of importance on physical attractiveness to gain attention.

• Suggestibility: Being easily influenced by others or by current trends.

• Perceived Relationships: Believing that relationships are more intimate than they are.

These behaviors can lead to difficulties in personal and professional relationships, as well as challenges in daily functioning.

Causes and Risk Factors

The exact cause of HPD is not fully understood, but several factors may contribute:

• Genetic Factors: A hereditary component may increase the risk, as HPD can be modestly heritable.

• Environmental Factors: Childhood trauma, abuse, or neglect can contribute to the development of histrionic traits.

• Psychosocial Factors: Cognitive theories suggest that individuals with HPD may have an underlying belief that others are unfriendly, combined with a lack of self-awareness.

• Neurological Factors: Differences in brain structure and function may play a role in the development of HPD.

Treatment Options

Managing HPD often involves a combination of psychotherapy and, in some cases, medication:

• Psychotherapy: Cognitive Behavioral Therapy (CBT) can help individuals recognize and change distorted thinking patterns.

• Supportive Therapy: Building a trusting therapeutic relationship is crucial, as individuals with HPD may be reluctant to seek help.

• Medication: While no medications are specifically approved for HPD, antidepressants, antipsychotics, or mood stabilizers may be prescribed to address co-occurring symptoms.

Histrionic Personality Disorder is a complex condition that requires a comprehensive treatment approach. Dr. Doi works closely with her patients to find the right balance and approach for each individual, ensuring that treatment is tailored to their unique needs.  Book a free discovery call to discuss treatment options with Dr. Doi.