woman center of attention

Histrionic Personality Disorder Treatment

Histrionic Personality Disorder Treatment at Promises

Promises provides comprehensive treatment for histrionic personality disorder and co-occurring issues like substance abuse. Often, our clients with these issues arrive after failed relationships, filled with depression or anxiety over what they’ve lost, and other conflicts. Our therapists establish rapport with clients who want help regaining a sense of balance and normalcy in their lives. Some of the therapy is solution-focused to work on alleviating short-term difficulties in our clients’ lives. Examining interactions objectively and clarifying emotions are also effective components of therapy.

Clients engage in individual and group therapy and work on interpersonal skills, learning what healthy relationships look like. They participate in counseling and activities that help them develop resiliency and self-esteem so that they feel less dependent on the approval of others in order to feel worthy. Underlying issues like past trauma, relationships problems and attachment issues are addressed.

What Is Histrionic Personality Disorder?

People with histrionic personality disorder feel an insatiable need to be the center of attention. They suffer from a distorted self-image and their feelings of worth depend on the approval of others. They may overdramatize situations and relationships and frequently have relationship problems. Women are more likely than men to be diagnosed with histrionic personality disorder, although it may be that men are underdiagnosed. The mental health condition usually begins in the teens or early 20s. Estimates of histrionic personality disorder in the general population are between two and three percent.

Symptoms of Histrionic Personality Disorder

People with histrionic personality disorder are often able to function at a high level. They may be successful, both at work and socially.

Symptoms of histrionic personality disorder include:

  • Acting on impulse, without thinking
  • Behaving or dressing in an overly seductive manner
  • Blaming others for failures or disappointments
  • Difficulty maintaining relationships
  • Easily influenced by others
  • Falsely believing that relationships are more intimate than they really are
  • Hyper-sensitivity to criticism or disapproval
  • Low tolerance for frustration or delayed gratification
  • Making snap judgments, resulting in rash decisions
  • Overly emotional and dramatic
  • Preoccupation with looks
  • Constant need for reassurance or approval
  • Self-centered, always needing to be the center of attention
  • Rapidly changing emotions
  • Threatening or attempting suicide

Relationship Challenges Associated with HPD

Histrionic personality disorder poses many challenges for friends, loved ones and coworkers who need to deal with these behaviors. A person with HPD may crave novelty, stimulation and excitement and constantly demand reassurance from others because they actually feel helpless and out of control. They think everyone they know should admire and approve of everything they say and do. In order to attain this, they often resort to inappropriate behaviors including overt seductiveness and covert manipulation.

In general terms, people with HPD are highly sociable and have intense relationships. They don’t like being alone, therefore they constantly try to make friends and influence people by being overly generous with compliments, flattery and appreciation. Someone suffering from a personality disorder may be attracted to someone who is their polar opposite. A common pattern is a stoic, meticulous obsessive-compulsive person being attracted to someone with a chaotic and bubbly histrionic persona. In this context, the person with HPD may be dependent, impressionable, easily influenced, overly trusting and controlled by their partner.

While people with HPD can be inspirational leaders, they often make rash business decisions because they are impulsive, unpredictable, impatient and easily bored. At their best, they can revitalize companies and provide the necessary momentum for start-ups, mergers and acquisitions, however, they can also create instability, chaos and distress in the workplace.

Causes of Histrionic Personality Disorder

While the cause of histrionic personality disorder is unknown, many mental health professionals believe that learned and inherited factors play an important role in its development. Histrionic personality disorder tends to run in families, indicating possible genetic and environmental origins.

Other possible factors leading to histrionic personality disorder include lack of discipline as a child and unpredictable parenting that causes confusion about what kinds of behavior will earn an individual parental approval.

Do You Need Treatment for Histrionic Personality Disorder?

A variation of HPD was included for the first time in the Diagnostic and Statistical Manual of Mental Disorders (DSM-II), published in 1968. Interestingly, it is the only contemporary mental health disorder that retained the term derived from the old concept of hysteria. The term hysterical in DSM-II was replaced with “histrionic” in DSM-III, published in 1980. HPD is one of four Cluster B personality disorders along with antisocial, borderline and narcissistic. A person with HPD exhibits a pervasive pattern of excessive emotionality and attention-seeking behaviors. HPD impacts an estimated 1-3% of the general population and more women are diagnosed than men, although the gender disparity is likely exaggerated. Some experts have voiced concerns regarding the stigma and lack of specificity regarding the terms hysteria and histrionic, while others have questioned the disorder altogether. Nonetheless, the modern diagnosis is closely related to the original concept.

If you answer yes to the following questions you may want to consider getting mental health treatment for your issues:

  • Do you need to be the center of attention at all times?
  • Are you overly concerned with how you look and appear to others?
  • Do you spend an inordinate amount of time trying to achieve just the right look?
  • Are you easily influenced by others?
  • Are you having difficulty in your relationships, and often become frustrated or bored?

Ready to Get Help?

We provide evidence-based histrionic personality disorder treatment and treatment for co-occurring disorders like substance abuse. Our specially trained clinicians can help you manage your mental health disorder symptoms, develop healthy coping skills and repair your relationships. Create the life you’ve always wanted. Call us for a free, confidential consultation: 844-876-5568.

To learn more about Histrionic Personality Disorder Treatment, call 844-876-5568

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