Presentation
The central aim of this study was to assess the effectiveness of cognitive analytic therapy (CAT) with a patient presenting with Histrionic Personality Disorder (HPD). [ncbi.nlm.nih.gov]
If physical symptoms are present, a physical exam and laboratory tests (such as neuroimaging studies or blood tests) may also be recommended to assure that a physical illness is not causing any symptoms that may be present. [webmd.com]
Self-mutilation behavior may also be present in this disorder and should also be taken seriously as an issue of importance to discuss within therapy. [psychcentral.com]
The hefty manual lays out the specific symptoms that should be present for a psychiatrist or psychologist to diagnose a given disorder. [thedailybeast.com]
Cardiovascular
- Palpitations
Some therapists employ hypnosis to assist individuals with HPD to relax when they experience a fast heart rate or palpitations during an expression of excessively dramatic, emotional, and excitable behavior. [web.archive.org]
Psychiatrical
- Denial
Although not significantly associated with the HPD total score, Denial (DEN; Lerner & Lerner, 1980) was associated with one individual HPD criterion. Furthermore, DEN was significantly correlated with the MMPI-2 Hysteria (Hy) scale. [doi.org]
Denial. Patients who use denial may say that a prior problem no longer exists, suggesting that their competence has increased; however, others may note that there is no change in the patients’ behaviors. Dissociation. [web.archive.org]
Denial. Patients who use denial may say that a prior problem no longer exists, suggesting that their competence has increased; however, others may note that there is no change in the patients' behaviors. Dissociation. [health.am]
- Easily Excitable
They are easily hurt and seek continuous excitement, attention and appreciation. Frances, et.al. (1995, p. 373) describes individuals with HPD as manipulative, vain, and demanding. [web.archive.org]
- Hypomanic Mood
Consistent with the "scar hypothesis", according to which mood depression might impact personality, we examined the effect of unipolar and hypomanic mood disturbances on cluster B (i.e., narcissistic, histrionic, and borderline) personality disorder features [ncbi.nlm.nih.gov]
- Inappropriate Sexual Behavior
Parenting which lacks boundaries is over-indulgent, or inconsistent may predispose children to develop a histrionic personality disorder. [8] Moreover, parents who role model dramatic, erratic, volatile, or inappropriate sexual behavior put their children [ncbi.nlm.nih.gov]
Neurologic
- Headache
Precautions Caution in hepatic impairment and history of seizures; MAOIs should be discontinued at least 14 d before initiating fluoxetine therapy; adverse effects include insomnia, headache, weight gain, and sexual dysfunction Drug Name Escitalopram [web.archive.org]
Housewives also experienced an increased frequency of psychosomatic symptoms, such as headache, excessive fatigue, feelings of worthlessness, and often reported suffering from the conviction that people did not recognize the importance of their role, [doi.org]
- Average Intelligence
She claims to have a mild learning disability, and indeed, is receiving special college education for people with learning disabilities and has a specialist learning disability social worker, despite being of above average intelligence. [ncbi.nlm.nih.gov]
Workup
Differential Diagnosis Other personality disorders Personality change due to another medical condition Substance use disorders Evaluation A clinical diagnosis; however if entertaining other organic causes may initiate workup below General ED Psychiatric [wikem.org]
Treatment
Treatment Goals Adler (Adler, Ed., 1990, pp. 26-32) proposes that treatment goals for all personality disorder treatment include: preventing further deterioration, establishing or regaining an adaptive equilibrium, alleviating symptoms, restoring lost [web.archive.org]
Treatments Interpersonal Therapy and Functional Analytic Psychotherapy Treatment Summary: The treatments typically provided to clients meeting criteria for HPD are psychodynamic, are longer-term treatments and focus on interpersonal process. [tamuct.edu]
Research indicates that a relationship exists between poor treatment outcomes and premature termination from treatment for individuals with Cluster B personality disorders. [health.am]
Psychotherapy, as with most personality disorders, is the treatment of choice. [psychcentral.com]
Prognosis
Expectations (prognosis) Histrionic personality disorder can improve with talk therapy and sometimes medicines. Left untreated, it can cause problems in people's personal lives and prevent them doing their best at work. [web.archive.org]
The prognosis for someone living with histrionic personality is largely positive. While many people with HPD are resistant to treatment, most live well with this condition with minimal impairment or dysfunction. [brightquest.com]
Outlook (Prognosis) Histrionic personality disorder can improve with talk therapy and sometimes medicines. Left untreated, it can cause problems in people's personal lives and prevent them from doing their best at work. [ufhealth.org]
Etiology
Abstract Little is known about the etiology of histrionic personality disorder (HPD) or its relation to other personality disorders. [ncbi.nlm.nih.gov]
The ESSPD stimulates and supports scholarship, clinical experience, international collaboration and communication of research on all aspects of personality disorders including epidemiology, etiology, diagnosis and assessment, course and treatment in Europe [bpded.biomedcentral.com]
Prevalence 2 )[ C ] Has been identified more frequently in females ( 2 ) Etiology and Pathophysiology Both genetic and environmental factors play a role in development of HPD. [unboundmedicine.com]
Etiology It is a common disorder with estimates running as high as 10-14% of the general population. The frequency in women is two to three times greater than men. This may be related to genetic or hormonal influences. [web.stanford.edu]
Etiology The development of HPD illustrates a complicated interaction of biological predispositions and environmental responses. [web.archive.org]
Epidemiology
Data from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions estimate that the prevalence of histrionic personality disorder is 1.84 percent. [psychologytoday.com]
Method: The data were derived from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (N = 43,093). [doi.org]
Abstract In conjunction with the Epidemiological Catchment Area (ECA) survey conducted in Baltimore, MD, a two-stage probability sample of community subjects was developed with a full psychiatric examination employing DSM-III criteria. [ncbi.nlm.nih.gov]
The results of this test were that "masculine behaviors rated as significantly poorer examples of the HPD criteria than non-sex-typed and feminine (trend) behaviors." [26] Epidemiology [ edit ] The survey data from the National epidemiological survey [en.wikipedia.org]
Pathophysiology
Prevalence 2 )[ C ] Has been identified more frequently in females ( 2 ) Etiology and Pathophysiology Both genetic and environmental factors play a role in development of HPD. [unboundmedicine.com]
In a study published by the International Journal of Experimental and Clinical Pathophysiology and Drug Research, researchers found that anywhere from 40 percent to almost 80 percent of patients suffering from alcoholism also had a personality disorder [americanaddictioncenters.org]
Pathophysiology: The origin of personality disorders is a matter of considerable controversy. [web.archive.org]
Prevention
Prevention Although prevention of the disorder might not be possible, treatment can allow a person who is prone to this disorder to learn more productive ways of dealing with situations. [web.archive.org]
Traditional thinking holds that these maladaptive patterns are the result of dysfunctional early environments that prevent the evolution of adaptive patterns of perception, response, and defense. [emedicine.com]