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A person with dramatic personality disorder (also called histrionic, hysterical or hysterical) personality disorder is a person who over time and across a variety of situations is emotionally superficial, theatrical in appearance, emotionally unstable, and who exaggerates emotional expression. 

Photo: by Ali Pazani on Unsplash



 

Symptoms of hysterical / dramatic personality disorder

A personality disorder is characterized by abnormalities in the personality. The condition manifests itself already in adolescence and continues into adulthood.

A person with dramatic personality disorder (F60.4 in ICD-10), also called histrionic, hysterical or hysterical personality disorder is a person who over time and across a variety of situations is emotionally superficial, theatrical in appearance, emotionally unstable, and who exaggerates emotional expression.

The person is characterized by a persistent pattern of excessive emotionality and the pursuit of attention. 





The person has theatrical facts and exaggerated emotional expressions, is easily influenced by others or by circumstances, and is perceived to have a superficial and unstable emotional life.

The person is more or less continuous in the search for excitement and activities where the patient is in the center of attention. The behavior will often be inappropriately seductive / flirtatious, without the person necessarily being very aware of this. The person in question would like to be very concerned about appearing physically attractive.

 

According to the diagnostic tool SCID-II, dramatizing personality disorder is characterized by the following traits





 

  1. Dissatisfied in situations where the person is not in the center of attention. 
  2. Interact with others who are often characterized by inappropriate sexual seductive or challenging behavior. 
  3. Shows rapidly changing superficial expressions of emotion. 
  4. Uses consistent physical appearance to draw attention to himself. 
  5. Has a language style that is extremely impressionistic and lacks details. 
  6. Is dramatically theatrical with exaggerated expressions of emotion. 
  7. Is impressionable, i.e. can be easily influenced by other people or situations. 
  8. Consider relationships more intimate than they really are. 

 

What helps with hysterical / dramatic personality disorder?

The treatment of personality disorders aims to create better social functioning and adaptation. In addition, attempts are made to reduce acute symptoms, such as psychosis. Furthermore, support is provided to ride out crises in relation to those closest to them.

In the treatment context, personality disorders are divided into two groups: mild and severe personality disorders. The mild personality disorders include avoidant, obsessive-compulsive and dependent personality disorders, while the rest are considered among the most severe.

The main treatment for the mild personality disorders is long-term psychotherapy. This is done by a specialist. Some will need additional treatment for depression and anxiety.

In the case of severe personality disorders, hospitalization and medical treatment in crises may be necessary, in addition to long-term psychotherapy. Supportive talks with a general practitioner may also be relevant.

 

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