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Histrionic Personality Disorder (HPD)

Do you live with a drama queen or a drama king?

Are important problems or concerns you have to face taking a back seat to the imaginary or over-inflated problems of a loved one?

Are you trying to cover up the abnormal behavior of a loved one?

Do you frequently find yourself trying to bring a family member or significant other back down to earth?

Have you ever wondered how bad it would get if a real crisis ever did strike?

Do you find yourself giving up things that you need just to placate a family member?

Are healthy relationships and activities you enjoy perceived as a distraction from your assigned role - managing the all-important concerns of a family member?

Are you trying to fill the black hole of someone else’s emotional need?

Do you find yourself hiding your needs from a family member or loved one?

Are you unable to discuss your concerns, fears, goals and dreams because to do so would only create conflict in the relationship?

Do you carry a cell phone that can ruin your day with just one ring?

Do you wear yourself out to meet the emotional needs of a family member, only to find that your efforts are in vain?

Are you chastised for caring for others? Are you cut off from contact with other family members, friends, people you care about? Are you afraid to take a night out with friends? Do you find yourself letting healthy relationships die because of the competition it creates?

Does a loved one ever promise you how much better things would be if you would just take care of their needs, only to criticize you for letting them down when you try?

Do you suspect your loved one of making up problems just to draw attention to themselves?

Do you feel trapped? alone? Do you feel as though nobody understands what you are dealing with?

If the answer to any of these questions is “yes” then it’s possible  you may be in a relationship with someone who has Histrionic Personality Disorder - or HPD. HPD is a serious condition that isolates those who surround the people who have the disorder.  Living with a person who suffers from HPD can be an exhausting, frustrating experience. Trying to make your loved-one happy is like trying to empty the ocean with a leaky bucket.  Your loved one’s personality disorder prevents them from seeing the destructiveness of their own behaviors and keeps them from seeing or understanding your own needs and limitations.

Histrionic means having a pattern of excessively dramatic, emotional, over-reactive or attention-seeking behavior, an excessive need for approval or inappropriate seductiveness. The term comes from the Latin for "actor". Click Here for information on Histrionic Personality Disorder (HPD).

List of Histrionic Traits

  1. Always & Never Statements
  2. Blaming
  3. Chaos Manufacture
  4. Cheating
  5. Circular Conversations
  6. Domestic Theft
  7. Drama Majors & Drama Queens
  8. Entitlement and Emotional Blackmail
  9. False Accusations & Distortion Campaigns
  10. Gaslighting
  11. Munchausen Syndrome
  12. Munchausen By Proxy Syndrome
  13. Sabotage

Despite being common, few people have heard of HPD.

A mnemonic that is sometimes used to describe the criteria for histrionic personality disorder is “PRAISE ME”

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 liability, shallowness

M - make-up - physical appearance used to draw attention to self
E - exaggerated emotions - theatrical

But there is hope! You are not alone! You don’t have to figure all this out by yourself! There are lots of people who have faced or are facing similar circumstances. Some of them are right here on this site. We strongly urge you to read some of the stories, learn about coping with this devastating illness and ask your own questions at our message board.


HPD Characteristics - The DSM-IV Criteria

Histrionic Personality Disorder (HPD) is listed in the DSM-IV-TR as a "Cluster B" (dramatic, emotional, or erratic) Personality Disorder.

Text in Bold Italics is quoted from the American Psychiatric Association’s Diagnostic & Statistical Manual (DSM-IV)

DSM IV CRITERIA FOR HISTRIONIC PERSONALITY DISORDER

A pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

1.  is uncomfortable in situations in which he or she is not the center of attention

2.  interaction with others is often characterized by inappropriate sexually seductive or provocative behavior

3. displays rapidly shifting and shallow expression of emotions

4. consistently uses physical appearance to draw attention to self

5.  has a style of speech that is excessively impressionistic and lacking in detail

6.  shows self-dramatization, theatricality, and exaggerated expression of emotion

7. Is suggestible, i.e., easily influenced by others or circumstances

8. Considers relationships to be more intimate than they actually are.

Understanding the clinical criteria for HPD is helpful but learning how to cope with having a loved-one who suffers from HPD is quite different and is not covered in any psychological manual. One of the most effective ways we have found to deal with that is to get support from people who understand what it feels like to listen to exaggerated monologues, who know the pain of having their own real needs relegated below the manufactured issues being pushed by a person who has HPD and have learned together how to cope and stop the abusive cycle.


For More Information & Support...

If you suspect you may be in a relationship with or related to someone who suffers from a personality disorder, we encourage you to learn all you can and gather as much support as you can to help you learn how to cope. Click here to learn about more Common Behaviors of Personality Disorders, learn about the good ideas and mistakes that others in similar situations have made in Common Behaviors of Non-Personality Disordered-People. Learn the essential terminology and vocabulary at our Personality Disorder Glossary. Follow our Links to related sites, discover key Books about personality disorders or read the real-life stories of others and discuss your own situation in the Introductions section of our Out of the FOG Support Forum.

 

 
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DSM-V Changes Personality Disorder Diagnosis

Feb 10, 2010 - The American Psychiatric Association today released their first draft of the 5th revision of the Diagnostic & Statistical Manual (DSM-V) which regroups personality disorder diagnoses into 5 categories:

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