Individuals with Histrionic Personality Disorder have a strong and constant need to gain the attention and approval of others. They often behave in a dramatic manner and express emotions in an exaggerated way. They may also attempt to attract attention through sexually provocative dressing and behavior. As a result of poor or impulsive decisions, they frequently find themselves in problematic situations.
Symptoms
They often display uncontrollable anger and stubbornness. A fear of being left alone and an excessive dependency on others are commonly seen in them. They tend to exhibit unstable behavior, frequently changing what they say from one moment to the next. They can be highly skilled at lying and convincingly presenting falsehoods as truth. Exaggeration in all matters, imagining and presenting self-created situations as reality, and attempting to make others believe these as true are notable traits.
They may show a tendency to do anything to achieve personal goals, feign illness to gain attention and care, and even threaten suicide. Their behavior is unpredictable—one moment they may speak cheerfully, and the next moment they may erupt without any apparent provocation. Their emotional expressions toward others are often superficial and outwardly exaggerated.
They also tend to shift the blame for their own weaknesses and failures onto others. They are capable of building relationships effectively for personal gain, often with clear underlying motives. While they may display sharp analytical abilities, their interpretations are usually influenced by their own interests.
Causes
There is no single cause for this disorder; rather, it arises from multiple factors. Genetic and environmental influences, lack of attention during childhood, excessive encouragement of dramatic behavior in early years, psychological factors such as low self-esteem and an intense need for approval, and abnormal behavioral patterns of parents can all contribute to the development of this disorder.
Psychological Approaches
For individuals diagnosed with this condition, Cognitive Behavioral Therapy (CBT) can be beneficial in helping them regulate emotions, develop genuine relationships, and increase self-awareness. There is no specific medication for this personality disorder. However, if comorbid conditions such as severe anxiety or depression are also diagnosed, the assistance of a mental health professional is necessary.
Rev. Dr. Sijon Kuzhikkattumyalil
