Editing Histrionic personality disorder (section)

== Diagnosis ==
The person's appearance, behavior and history, along with a [[psychological evaluation]], are usually sufficient to establish a diagnosis. There is no test to confirm this diagnosis. Because the criteria are subjective, some people may be wrongly diagnosed.<ref name="psych-central2">{{cite web |date=2017-12-17 |title=Psych Central: Histrionic Personality Disorder Treatment |url=http://psychcentral.com/disorders/sx17t.htm#psych |url-status=live |archive-url=https://web.archive.org/web/20080829225824/http://psychcentral.com/disorders/sx17t.htm#psych |archive-date=2008-08-29 |access-date=2008-07-09 |publisher=Psych Central}}</ref>{{Medical citation needed|date=August 2021}}

=== DSM 5 ===
The current edition of the [[Diagnostic and Statistical Manual of Mental Disorders]], DSM 5, defines histrionic personality disorder (in [[Personality disorder#Cluster B (emotional or erratic disorders)|Cluster B]]) as:<ref name="dsmiv2">{{cite book |title=DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders |publisher=American Psychiatric Publishing |year=2000 |chapter=Chapter 16: Personality Disorders}}</ref>

{{blockquote|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:
* is uncomfortable in situations in which he or she is not the center of attention
* interaction with others is often characterized by inappropriate sexually seductive or provocative behavior
* displays rapidly shifting and shallow expression of emotions
* consistently uses physical appearance to draw attention to self
* has a style of speech that is excessively impressionistic and lacking in detail
* shows self-dramatization, theatricality, and [[exaggerated]] expression of emotion
* is suggestible, i.e., easily influenced by others or circumstances
* considers relationships to be more intimate than they actually are}}

The DSM 5 requires that a diagnosis for any specific personality disorder also satisfies a set of [[Personality disorder#DSM-5 general criteria|general personality disorder criteria]].

==== Alternative model ====
The [[Alternative DSM-5 Model for Personality Disorders]] (AMPD) does not list histrionic personality disorder as its own diagnostic entity.<ref>{{Cite book |title=Diagnostic and statistical manual of mental disorders: DSM-5 |date=2013 |publisher=American Psychiatric Association |isbn=978-0-89042-554-1 |editor-last= |edition=5th |location=Washington, D.C |pages=761}}</ref> However, it is stated in the AMPD that what is conceptualized as HPD can instead be diagnosed as [[Personality disorder trait specified|Personality Disorder - Trait Specified]], which is a [[Dimensional models of personality disorders|dimensional]] diagnosis for personality disorders found in the alternative model.<ref>{{Cite book |title=Diagnostic and statistical manual of mental disorders: DSM-5 |date=2013 |publisher=American psychiatric association |isbn=978-0-89042-554-1 |edition=5th |location=Washington |pages=771}}</ref>

=== ICD-10 ===
The [[World Health Organization]]'s [[ICD-10]] lists histrionic personality disorder (F60.4) as:<ref name="icd102">{{cite book |title=International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) |publisher=World Health Organization |year=2010 |chapter=Chapter V: Mental and behavioural disorders (F00-F99) |access-date=2012-06-05 |chapter-url=http://apps.who.int/classifications/icd10/browse/2010/en#/F60.4 |archive-url=https://web.archive.org/web/20141102133725/http://apps.who.int/classifications/icd10/browse/2010/en#/F60.4 |archive-date=2014-11-02 |url-status=live}} ({{ICD10|F|60|4|f|60}})</ref>

{{blockquote|A personality disorder characterized by:
* shallow and labile (easily changeable) affectivity,
* self-dramatization,
* theatricality,
* exaggerated expression of emotions,
* suggestibility,
* egocentricity,
* self-indulgence,
* lack of consideration for others,
* easily hurt feelings, and
* continuous seeking for appreciation, excitement and attention.}}

It is a requirement of ICD-10 that a diagnosis of any specific personality disorder also satisfy a set of [[Personality disorder#ICD-10|general personality disorder criteria]].

=== Comorbidity ===
Most histrionics also have other mental disorders. Comorbid conditions include: [[Antisocial personality disorder|antisocial]], [[Dependent personality disorder|dependent]], [[Borderline personality disorder|borderline]], and [[narcissistic personality disorder]]s,<ref name="Hales2">Hales E and Yudofsky JA, eds, The American Psychiatric Press Textbook of Psychiatry, Washington, DC: American Psychiatric Publishing, Inc., 2003</ref> as well as [[Major depressive disorder|depression]],<ref>{{cite journal | pmid=21245088 | year=2011 | last1=Skodol | first1=A. E. | last2=Grilo | first2=C. M. | last3=Keyes | first3=K. M. | last4=Geier | first4=T. | last5=Grant | first5=B. F. | last6=Hasin | first6=D. S. | title=Relationship of personality disorders to the course of major depressive disorder in a nationally representative sample | journal=The American Journal of Psychiatry | volume=168 | issue=3 | pages=257–264 | doi=10.1176/appi.ajp.2010.10050695 | pmc=3202962 }}</ref> [[anxiety disorders]], [[panic disorder]], [[somatoform disorders]], [[anorexia nervosa]], [[substance use disorder]]<ref>{{Cite web |title=Armenian Medical Network |url=http://www.health.am/psy/histrionic-personality-disorder/ |url-status=live |archive-url=https://web.archive.org/web/20070212190602/http://www.health.am/psy/histrionic-personality-disorder/ |archive-date=2007-02-12 |access-date=2007-01-11}}</ref> and [[attachment disorder]]s, including [[reactive attachment disorder]].<ref>{{Cite journal |last=Trisha Akula |date=2024-11-02 |title=Histrionic Personality Disorder- A Review on Comorbidities, Associated Features and Assessments with Consideration of Factitious Disorder Traits |journal=EPRA International Journal of Multidisciplinary Research  |pages=1–3 |doi=10.36713/epra18871 |issn=2455-3662|doi-access=free }}</ref>

=== Millon's subtypes ===
In 2000, [[Theodore Millon]] suggested six subtypes of histrionic personality disorder. Any individual histrionic may exhibit one or more of the following:<ref name="Millon2">{{Cite book |last=Millon |first=Theodore |title=Personality Disorders in Modern Life |publisher=John Wiley & Sons, Inc. |year=2004 |isbn=0-471-23734-5 |location=Hoboken, New Jersey}}</ref>
{| class="wikitable"
!Subtype
!Features
!Personality Traits
|-
|'''Appeasing histrionic'''
|Including [[Dependent personality disorder|dependent]] and [[Obsessive-compulsive personality disorder|compulsive]] features
|Seeks to placate, mend, patch up, smooth over troubles; knack for settling differences, moderating tempers by yielding, compromising, conceding; sacrifices self for commendation; fruitlessly placates the unplacatable.
|-
|'''Vivacious histrionic'''
|Including [[Hypomania|hypomanic]] features, and possibly [[Narcissistic personality disorder|narcissistic]] features
|Vigorous, charming, bubbly, brisk, spirited, flippant, impulsive; seeks momentary cheerfulness and playful adventures; animated, energetic, ebullient.
|-
|'''Tempestuous histrionic'''
|Including [[Passive-aggressive personality disorder|negativistic]] features
|Impulsive, out of control; moody complaints, sulking; precipitous emotion, stormy, impassioned, easily wrought-up, periodically inflamed, turbulent.
|-
|'''Disingenuous histrionic'''
|Including [[Antisocial personality disorder|antisocial]] features
|Underhanded, double-dealing, scheming, contriving, plotting, crafty, false-hearted; egocentric, insincere, deceitful, calculating, guileful.
|-
|'''Theatrical histrionic'''
|Variant of "pure" pattern
|Affected, mannered, put-on; postures are striking, eyecatching, graphic; markets self-appearance; is synthesized, stagy; simulates desirable/dramatic poses.
|-
|'''Infantile histrionic'''
|Including [[Borderline personality disorder|borderline]] features
|Labile, high-strung, volatile emotions; childlike hysteria and nascent pouting; demanding, overwrought; fastens and clutches to another; is excessively attached, hangs on, stays fused to and clinging.
|}