Personality

Disorder
(CONT.)
By: Gleazel B. Tagtagon
Psych Intern
Example:
Maria, 28, loves being the
center of attention and
dresses attractively,
sometimes too much. She can
be overly flirty, even when
it’s not the right time. Her
feelings change quickly, and
she doesn’t always seem
genuine. Maria posts a lot on
social media, especially photos
showing off her looks, wanting
people to like them.
When she talks, it’s often
vague and not very detailed.
She tends to make a big deal
out of things and acts in a
way that’s like she’s on
stage. Maria easily goes along
with what others think and
do, and she often thinks
relationships are closer than
they really are.
 Histrionic
What diagnosis would
you consider for
Personality
Maria based on her
Disorder
behavior and
symptoms?
Histrionic Personality
Disorder
(Cluster B)
Diagnostic Criteria, Risk and
Prognosis, and Treatment and
Management
Histrionic Personality Disorder
– is a personality disorder characterized by a
pervasive pattern of excessive emotionality
and attention-seeking behavior. It
typically begins in early adulthood and is
present in a variety of contexts.
 DSM-5 Criteria
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.
 DSM-5 Criteria
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:

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.
Example:
Maria, 28, loves being the
center of attention and
dresses attractively,
sometimes too much. She can
be overly flirty, even when
it’s not the right time. Her
feelings change quickly, and
she doesn’t always seem
genuine. Maria posts a lot on
social media, especially photos
showing off her looks, wanting
people to like them.
When she talks, it’s often
vague and not very detailed.
She tends to make a big deal
out of things and acts in a
way that’s like she’s on
stage. Maria easily goes along
with what others think and
do, and she often thinks
relationships are closer than
they really are.
Risk and Prognosis
Risk Factors
– Genetics
– Childhood Trauma
– Parenting Styles
Prognosis
– (HPD) doesn't have a cure
– Talk therapy can be beneficial for those
with HPD
– Severe cases of HPD might lead to
difficulties at work and in relationships.
Treatment and
Management
Treatment

– Psychotherapy
– Group Therapy
– Psychodynamic Psychotherapy
– Supportive Psychotherapy
– Cognitive Behavioral Therapy (CBT)
– Alternative Therapies
– Yoga
– Tai chi
– Biofeedback
 Coping with Histrionic Personality
Symptoms

– Establish consistent eating and sleeping

schedules
– Exercising on a regular basis
– Avoiding drugs and alcohol
– Enlisting the help of trusted friends and
family to keep you on track
Example:

Emma, a college student,

feels scared about her class
talk. When it's her turn, she
has trouble speaking and
worries what others will
think. She avoids looking at
them and talks quietly. After
she's done, she feels a bit
better but still worries. She
stays quiet for the rest of
the class, afraid of more talks
later.
 Avoidant
What diagnosis would Personality
you consider for Disorder
Maria based on her
behavior and
symptoms?
Avoidant Personality
Disorder
(Cluster C)
Diagnostic Criteria, Risk and
Prognosis, and Treatment and
Management
Avoidant Personality Disorder
– is a mental health condition where
individuals consistently feel inadequate and
overly sensitive to criticism. They desire
social interaction but often avoid it due
to a deep fear of rejection.
 DSM-5 Criteria
A pervasive pattern of social inhibition, feelings of inadequacy, and
hypersensitivity to negative evaluation, beginning by early adulthood
and present in a variety of contexts, as indicated by four (or more)
of the following:
1. Avoids occupational activities that involve significant
interpersonal contact because of fears of criticism,
disapproval, or rejection.
2. Is unwilling to get involved with people unless certain of
being liked.
3. Shows restraint within intimate relationships because of
the fear of being shamed or ridiculed.
4. Is preoccupied with being criticized or rejected in social
situations.
 DSM-5 Criteria
A pervasive pattern of social inhibition, feelings of inadequacy, and
hypersensitivity to negative evaluation, beginning by early adulthood
and present in a variety of contexts, as indicated by four (or more)
of the following:
5. Is inhibited in new interpersonal situations because of
feelings of inadequacy.
6. Views self as socially inept, personally unappealing, or
inferior to others.
7. Is unusually reluctant to take personal risks or to engage
in any new activities because they may prove
embarrassing.
Example:

Emma, a college student,

feels scared about her class
talk. When it's her turn, she
has trouble speaking and
worries what others will
think. She avoids looking at
them and talks quietly. After
she's done, she feels a bit
better but still worries. She
stays quiet for the rest of
the class, afraid of more talks
later.
Risk and Prognosis
Risk Factors
– Genetics
– Temperament during infancy
– Attachment Style
– Early Childhood Environment
Prognosis
Left untreated, AVPD may result in:
- Additional mental health conditions, like
depression, substance use disorder and
eating disorders.
- Increased risk of postpartum depression.
- Dissatisfaction with life.
- Work difficulties.
- Impaired social functioning.
Treatment and
Management
 Treatment

– Psychotherapy
– Psychodynamic Therapy
– Cognitive Behavioral Therapy (CBT)
Thank you
By: Gleazel B. Tagtagon
Psych Intern