Histrionic personality disorder, or HPD, is a mental health condition where people show very dramatic and attention-seeking behavior. Those with HPD have a deep need for attention, often acting inappropriately seductive to get it. They can find it hard to keep close relationships due to impulsive and manipulative actions.
About 2% to 3% of people in the U.S. may have HPD, which typically starts in the late teen years or early adulthood. Studies indicate that it affects individuals regardless of their gender assignment at birth equally.
Diagnosing HPD requires a thorough psychological evaluation by a mental health expert who examines symptoms and behavior patterns. Treatments usually include psychotherapy, known as talk therapy, and sometimes medications. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), HPD is a Cluster B personality disorder. This cluster is marked by intense emotional and impulsive behaviors, with affected individuals often struggling to manage their impulses and maintain stable relationships.
The main symptoms of HPD include seeking attention, experiencing intense and quickly shifting emotions, and having difficulties maintaining close relationships. People with HPD are often lively, outgoing, and charming, especially when meeting new people. They might view their relationships as being more significant than they truly are and may feel neglected if they don’t get enough attention.
The causes of this disorder are unclear, but it likely involves a mix of genetic and environmental factors. To diagnose HPD, a psychiatrist or psychologist conducts a comprehensive evaluation. It’s important to differentiate HPD symptoms from those of other personality disorders. At least five criteria from the DSM-5 must be met for an HPD diagnosis.
Those with HPD may not see their behaviors as problem signs until they have notably disrupted their personal or work life. Treatment aims to help them recognize their emotions and behavior, develop better communication and social skills, and build self-esteem. While psychotherapy is the primary treatment method, it might be supplemented with medication to manage emotional ups and downs or co-occurring issues like anxiety and depression.
Living with HPD affects thoughts, emotions, and behavior. The constant craving for attention and intense feelings can make maintaining relationships tough and significantly impact life quality. Treatment is ongoing, needing support from healthcare professionals, family, and friends. With proper care and understanding, individuals with HPD can lead productive and fulfilling lives.
Learning about HPD is key to supporting someone with the condition. Understanding that their behavior stems from the disorder rather than character can help during challenging times. Offering empathy, encouraging treatment, and maintaining boundaries while practicing self-care are crucial in supporting someone with HPD.
