Understanding the Dramatic Character: Histrionic Personality Disorder and Its Treatment Strategies
Histrionic Personality Disorder (HPD) is a complex mental health condition that affects individuals, often characterised by a persistent need for attention and emotional intensity.
The diagnosis of HPD is based on the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This condition is distinct from narcissism, as those with HPD seek any attention that provides a sense of appreciation or connection, whereas individuals with narcissistic personality disorder strive for veneration and reverence.
Individuals with HPD may frequently encounter friction in relationships due to attempts to gain a lot of attention. However, it's important to note that not every person with HPD enjoys the attention-seeking behaviours associated with the disorder. Behind these behaviours, there might be an urgent desire to be accepted and to connect with others quickly.
The background of individuals with HPD is influenced by a variety of factors, including genetic predispositions, early childhood experiences such as trauma or neglect, environmental influences, cultural context, and social learning. Social learning plays a significant role, with children often imitating adult behaviours and attitudes observed during upbringing, reinforcing attention-seeking and emotionally dramatic patterns typical of HPD.
Intense emotionality, such as anger, frustration, depression, and anxiety, is common in individuals with HPD. Symptoms typically decrease in intensity with age. Attempts to quickly get closer or more intimate with others might not be reciprocated due to overwhelming or confusing displays of affection.
For those seeking professional help, psychotherapy is the most effective method of treatment. A few psychotherapy styles effective for treating HPD include psychodynamic therapy, cognitive behavioral therapy, interpersonal therapy, dialectical behavioral therapy, group and family therapy. Through therapy, individuals can learn coping skills that improve their self-esteem and relationships.
In some cases, emotional states associated with HPD might be treated with medication, such as antidepressants and mood stabilizers.
Resources for diagnosis and treatment of HPD include the American Psychiatric Association, American Psychological Association, National Alliance on Mental Illness (NAMI), Project Air, NAMI Support Groups, Depression and Bipolar Support Alliance (DBSA) Online Support Groups, and DBSA Local Support Groups.
It's crucial to remember that HPD is more common in adult females than males. HPD is not the same as extroversion, as HPD involves an insatiable need for others to acknowledge the individual constantly, while extroversion is a personality trait characterised by outgoingness and sociability.
In conclusion, understanding HPD is essential for those affected by the condition and for those who interact with individuals with HPD. With the right resources, support, and treatment, individuals with HPD can learn to manage their symptoms and improve their quality of life.
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