Histrionic Personality Disorder: Understanding the Dramatic Reading

Histrionic Personality Disorder (HPD) is a type of personality disorder that is characterized by dramatic and exaggerated behavior in attention-seeking situations. People with HPD use an extravagant and flamboyant style of communication, usually marked by melodramatic and exaggerated facial expressions, gestures, and speech. This article aims to give an overview of the histrionic personality disorder and how it affects a person’s life.

What is Histrionic Personality Disorder?

Histrionic Personality Disorder belongs to the Cluster B personality disorders (which includes Borderline, Narcissistic, and Antisocial), and it affects people in various ways. HPD is marked by intense emotions, dramatic behavior, and a tendency to seek attention in inappropriate ways. The term histrionic comes from the Greek word “histrionikos” which means actor or actress. Hence, people with HPD behave like actors with excessive emotions, grandiosity and an insatiable need for attention, admiration, and approval from others.

People with HPD often have difficulties maintaining personal relationships because of their behavior patterns. They struggle to control their emotions and fail to recognize the needs of others around them. HPD is more common in women than in men, and while there isn’t a known cause, genetics and childhood experiences are thought to play a role.

Symptoms of Histrionic Personality Disorder

People with HPD have a distorted view of themselves, their abilities, and their relationships, which leads to several symptoms, such as:

  • Exaggerated expressions of emotions
  • Dramatic and theatrical appearance and behavior
  • A craving for attention and admiration
  • Difficulty making and maintaining personal relationships
  • A preoccupation with physical appearance
  • A tendency to be suggestible and easily influenced by others
  • Impulsivity in decision-making and actions
  • A tendency to make threats or suicide attempts to get attention
  • Extremely sensitive to criticism and rejection
  • Limited ability to cope with stressors from life’s daily routines

Diagnosis and Treatment of Histrionic Personality Disorder

Diagnosing HPD is a difficult task, as the symptoms are often similar to other personality disorders. A mental health professional usually diagnoses HPD by conducting a personal interview with the patient, taking into account their behavior patterns and history. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) provides a list of diagnostic criteria for HPD that can assist clinicians in diagnosing the disorder.

The treatment of HPD generally involves a combination of psychotherapy and medication. Psychotherapy typically involves cognitive-behavioral approaches aimed at targeting distortions in thinking and behavior related to the disorder. However, the success of psychotherapy can take time, and people with HPD must learn to manage their behavior patterns in the meantime.

While there is no medication specifically for HPD, doctors may prescribe medication to manage symptoms like depression, anxiety, and impulsivity. Antidepressants and antipsychotics can assist with emotional regulation, while mood stabilizers can help manage the impulsivity associated with the disorder.

Coping Strategies for Histrionic Personality Disorder

People with HPD can benefit from developing coping strategies to manage their behaviors, emotions, and relationships. Coping strategies help people with HPD avoid impulsive and dramatic situations, and they give them a chance to manage their emotions and reactions effectively. Some coping strategies for HPD include:

  • Developing a routine in daily life
  • Learning to recognize and manage triggers for impulsive behavior
  • Avoiding toxic or negative environments and relationships
  • Engaging in physical activities upon trigger occurrence
  • Practicing mindfulness, meditation or yoga to improve emotional regulation skills
  • Setting realistic goals and boundaries
  • Focusing on skills that can support healthy relationships and improve overall well-being


Histrionic Personality Disorder is a severe form of personality disorder that can affect people’s lives in numerous ways. People with HPD often struggle with maintaining relationships, impulsive behavior, and have a distorted view of themselves and others. It is essential to diagnose HPD correctly, and treatment involves psychotherapy and medication. Developing coping strategies and support networks can help people with HPD manage their behaviors, emotions, and relationships effectively. If you think you or someone you know may have HPD, it is essential to seek professional advice and support for effective management of the condition.


What is Histrionic Personality Disorder?

Histrionic Personality Disorder (HPD) is a mental health condition characterized by excessive attention-seeking, exaggerated emotions, and dramatic behavior. Individuals with HPD seek constant reassurance and admiration, often becoming uncomfortable or upset when they are not the center of attention.

What are the Common Symptoms of Histrionic Personality Disorder?

The common symptoms of Histrionic Personality Disorder are constant need for attention, seductive behavior, drama-seeking, excessive emotionality, easily influenced by others, and often overreact to things. Individuals with HPD seek to manipulate others to gain attention and admiration. They may also have low self-esteem and be very sensitive to criticism.

How is Histrionic Personality Disorder Diagnosed and Treated?

Histrionic Personality Disorder is diagnosed through a comprehensive psychological evaluation, including interviews with family members and friends. The treatment may involve psychotherapy, medications, or a combination of both. Cognitive-behavioural therapy may be used to help individuals develop more positive thought patterns and learn to manage their emotions better. Additionally, group therapy can be used to enhance social skills and improve relationships. Antidepressants and anxiety medication may be prescribed to help manage symptoms of depression, anxiety, or impulsivity in some individuals.


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

2. Roche, M. J., & Welch, S. S. (2011). Psychological and interpersonal dysfunction in borderline personality disorder and histrionic personality disorder. Journal of personality disorders, 25(4), 417-430.

3. Crego, C., & Widiger, T. A. (2015). Sex differences in the manifestation of histrionic personality disorder: A review. Personality Disorders: Theory, Research, and Treatment, 6(2), 151-158.