Histrionic personality disorder: Difference between revisions

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==Background==
==Background==
A pervasive pattern of excessive emotionality and attention seeking
*A pervasive pattern of excessive emotionality and attention seeking


==Clinical Features==
==Clinical Features==
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==Differential Diagnosis==
==Differential Diagnosis==
*Other personality disorders<br />
*Other [[personality disorders]]
*Personality change due to another medical condition<br />
*Personality change due to another medical condition
*Substance use disorders<br />
*[[substance abuse|Substance use disorders]]


==Evaluation==
==Evaluation==
A clinical diagnosis; however if entertaining other organic causes may initiate workup below
*A clinical diagnosis; however if entertaining other organic causes may initiate workup below


{{General ED Psychiatric Workup}}
{{General ED Psychiatric Workup}}


==Management==
==Management==
Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment. Medication does little to affect the personality disorder but can be helpful with symptoms such as depression.
*Set clear boundaries
*Expect interruptions
*Tolerate emotions but not outbursts
*Be empathetic but avoid overt emotionality
*Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment. Medication does little to affect the personality disorder but can be helpful with symptoms such as depression.


==Disposition==
==Disposition==
Home
*Discharge


==See Also==
==See Also==
*[[Personality disorders]]


==External Links==
==External Links==


==References==
==References==

Latest revision as of 14:38, 11 October 2019

Background

  • A pervasive pattern of excessive emotionality and attention seeking

Clinical Features

  • Five (or more) of the following criteria, beginning by early adulthood and present in a variety of contexts:[1]
    • Is uncomfortable in situations in which he or she is not the center of attention.
    • Interaction with others is often characterized by inappropriate sexually seductive or provocative behavior.
    • Displays rapidly shifting and shallow expression of emotions.
    • Consistently uses physical appearance to draw attention to self.
    • Has a style of speech that is excessively impressionistic and lacking in detail.
    • Shows self-dramatization, theatricality, and exaggerated expression of emotion.
    • Is suggestible (i.e., easily influenced by others or circumstances).
    • Considers relationships to be more intimate than they actually are.

Differential Diagnosis

Evaluation

  • A clinical diagnosis; however if entertaining other organic causes may initiate workup below

General ED Psychiatric Workup

Management

  • Set clear boundaries
  • Expect interruptions
  • Tolerate emotions but not outbursts
  • Be empathetic but avoid overt emotionality
  • Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment. Medication does little to affect the personality disorder but can be helpful with symptoms such as depression.

Disposition

  • Discharge

See Also

External Links

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.