Histrionic personality disorder
- A pervasive pattern of excessive emotionality and attention seeking
- Five (or more) of the following criteria, beginning by early adulthood and present in a variety of contexts:
- 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.
- Other personality disorders
- Personality change due to another medical condition
- Substance use disorders
- A clinical diagnosis; however if entertaining other organic causes may initiate workup below
- Point-of-care glucose
- Chem 7
- ECG (for toxicology evaluation)
- ASA level
- Tylenol level
- Urine toxicology screen/Blood toxicology screen
- Urine pregnancy/beta-hCG (if female of childbearing age)
- 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.
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.