Histrionic personality disorder (HPD) is defined by the American Psychiatric Association as a personality disorder characterized by a pattern of excessive emotionality and attention-seeking, including an excessive need for approval and inappropriate seductiveness, usually beginning in early adulthood. These individuals are lively, dramatic, enthusiastic, and flirtatious.
They may be inappropriately sexually provocative, express strong emotions with an impressionistic style, and be easily influenced by others. Associated features may include egocentrism, self-indulgence, continuous longing for appreciation, feelings that are easily hurt, and persistent manipulative behavior to achieve their own needs.
Characteristics:
People with this disorder are usually able to function at a high level and can be successful socially and professionally. People with histrionic personality disorder usually have good social skills, but they tend to use these skills to manipulate other people and become the center of attention.[1]Furthermore, histrionic personality disorder may affect a person's social or romantic relationships or their ability to cope with losses or failures.
People with this disorder lack genuine empathy. They start relationships well but tend to falter when depth and durability are needed, alternating between extremes ofidealization and devaluation. They may seek treatment for depression when romantic relationships end, although this is by no means a feature exclusive to this disorder.
They often fail to see their own personal situation realistically, instead tending to dramatize and exaggerate their difficulties. They may go through frequent job changes, as they become easily bored and have trouble dealing with frustration. Because they tend to crave novelty and excitement, they may place themselves in risky situations. All of these factors may lead to greater risk of developing depression.
Mnemonic
A mnemonic that can be used to remember the criteria for histrionic personality disorder is PRAISE ME:[9][10]
- P - provocative (or seductive) behavior
- R - relationships, considered more intimate than they are
- A - attention, must be at center of
- I - influenced easily
- S - speech (style) - wants to impress, lacks detail
- E - emotional lability, shallowness
- M - make-up - physical appearance used to draw attention to self
- E - exaggerated emotions - theatrical
World Health Organization
The World Health Organization's ICD-10 lists histrionic personality disorder as (F60.4) Histrionic personality disorder.[6]
- It is characterized by at least 3 of the following:
- self-dramatization, theatricality, exaggerated expression of emotions;
- suggestibility, easily influenced by others or by circumstances;
- shallow and labile affectivity;
- continual seeking for excitement and activities in which the patient is the centre of attention;
- inappropriate seductiveness in appearance or behaviour;
- over-concern with physical attractiveness.
All I'm saying is that I am very thankful to be married to such a wonderful woman. I would otherwise be living in some alley and sleeping in some gutter every night.
