Definition of Histrionic Personality Disorder

Histrionic personality disorder involves a pattern of excessive emotional expression and attention-seeking, including an excessive need for approval and inappropriate seductiveness. It usually begins in early adulthood.

Causes, Incidence, and Risk Factors

The cause of Histrionic Personality Disorder is unknown, but childhood events and genetics may both be involved. It occurs more frequently in women than in men, although some feel it is simply more often diagnosed in women because attention-seeking and sexual forwardness is less socially acceptable for women.

People with this disorder are usually able to function at a high level and can be successful socially and at work. They may seek treatment for depression when romantic relationships end.

They often fail to see their own situation realistically, instead tending to over-dramatize and exaggerate. Responsibility for failure or disappointment is usually blamed on others.

Symptoms

• Constant seeking of reassurance or approval
• Excessive dramatics with exaggerated displays of emotions
• Excessive sensitivity to criticism or disapproval
• Inappropriately seductive appearance or behavior
• Excessive concern with physical appearance
• A need to be the center of attention (self-centeredness)
• Low tolerance for frustration or delayed gratification
• Rapidly shifting emotional states that may appear shallow to others
• Opinions are easily influenced by other people, but difficult to back up with details
• Tendency to believe that relationships are more intimate than they actually are

Signs and tests

The person's overall appearance, behavior, and history, and a psychological evaluation are usually sufficient to establish the diagnosis. There is no formal test to confirm the diagnosis.

continue: Treatment of Histrionic Personality Disorder

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Reviewed: 04/2006