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Addressing Histrionic Personality Disorder
The document discusses a strengths-based biopsychosocial approach to recovery from Histrionic Personality Disorder (HPD), detailing symptoms, their origins, and maintaining factors. It outlines the emotional and relational challenges faced by individuals with HPD, along with intervention strategies aimed at fostering self-awareness and healthier relationships. The treatment goals include identifying dysfunctional behaviors, their effects, and exploring alternative coping mechanisms to address underlying emotional dysregulation.
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Addressing Histrionic Personality Disorder
- 1. Strengths Based Biopsychosocial Approach toRecovery from Histrionic Personality Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC, NCC Executive Director, AllCEUs Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 2. Objectives Review thecharacteristics of Histrionic Personality Explore the functions of these symptoms Identify what may cause these symptoms to develop Explore what is maintaining these symptoms (benefits to the client) Explore the effects of these symptoms on significant others Identify interventions to help the person more effectively manage emotions and relationships
- 3. First Step AddressEmotional Dyscontrol Identify and prevent vulnerabilities Identify what works to help self-soothe Identify helpful distraction techniques Develop a safety plan Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 4. Next Step Identifythe most salient symptoms Their function (and alternate ways to meet that need) What it looks like How that behavior is being maintained (what are the benefits and other ways to get the same benefit) Mnemonic Provocative (or seductive) behavior Relationships are considered more intimate than they actually are Attention-seeking Influenced easily by others or circumstances Speech (style) wants to impress; lacks detail Emotional lability; shallowness Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 5. Provocative (or seductive)behavior Function Makes the person center of attention Provides as sense of control and power What Does it Look Like Make-up; physical appearance is used to draw attention to self Theatrical or exaggerated emotions Uncomfortable when he or she is not the center of attention Origins Conditional love Oversexualization Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 6. Effects/Benefits Relationshipsare often based upon shallow, dramatic behavior Relationships are unstable when the person is not the center of attention May have a more difficult time with the aging process Interventions Develop a positive self-concept based on more than appearance Explore the origins of messages that the person had to be attractive/sexual to be lovable Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 7. Relationships are consideredmore intimate than they actually are Function: Allows the person to feel loved and important What does it look like Oversharing Lack of boundaries Believing oneself to be indispensable to another Origins Often from an overly enmeshed (modeling) or disengaged (reacting) family Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 8. Overly Intimate Effects The person with HPD generally over shares and expects too much out of other people from the beginning. The perception of relationships being overly intimate can also support the person’s need for attention (name-dropping) Benefits For a short time the person may be able to exist in a glamorous fantasy world (escape) Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 9. Attention-seeking/Theatrical Function: Allowsthe person to believe themselves to be the center of attention What does it look like Hugely dramatic displays to maintain your status as the center of attention, whether it's negative or positive: Starting screaming matches in public, making up stories about alien abduction, always the life of the party Origins This behavior may have been developed as a way of distracting from interpersonal chaos within the family It may have also been developed as a way to get attention in a neglectful situation Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 10. Theatricality Effects Presentsan image of a drama-queen/king Certainly gets people’s attention, but not always for the best Benefits Attention = Importance Drama/Chaos = Focusing on something “out there” Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 11. Influenced easily byothers or circumstances Function: Chameleon like in order to remain the center of attention…will jump on the popular bandwagon What does it look like Opinions regularly change Often deferring to opinions of others Origins This can be reinforced in situations in which it is not “safe” to have personal opinions (abandonment, punishment, disapproval) Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 12. Easily Influenced Effects Person can easily be taken advantage of Person may be viewed as untrustworthy Benefits Can be “liked” and “popular” in the moment Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 13. Speech (style) grandiose;lacks detail Function: Vague references make it easier to change positions, manipulate information to be the center of attention or maintain approval What does it look like Politicians Choosing extreme language … “I always…” “I am just so busy. I’m not sure when I will find the time” Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 14. Grandiose Effects Helpscreate a grandiose image of the person Like relationships that are overly intimate, this turns simple events and feelings into huge productions Benefits Being vague and grandiose often keeps people from asking too many questions The person may be able to avoid unpleasant things by being “too busy” “exhausted” “totally crazy” Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 15. Emotional lability; shallowness Function: Allows the person to use the most effective emotion and change when necessary What does it look like I feel therefore I am People with HPD tend to regard everything through the lens of emotion, which in turn drives their dramatic actions. Origins People start viewing feelings as facts I feel angry, therefore I am justified in being angry (now who can I blame) Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 16. Emotional Effects Unpredictableemotions makes it very exhausting to be in a relationship with this person The inability to separate facts from feelings often leads to overgeneralization and keeps the person stuck in misery and negativity. Benefit Since their actions and thoughts are based on how they feel, people who have to be around them spend a good deal of time trying to keep them happy Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 17. Interventions Develop astable, positive sense of self Use distress tolerance, mindfulness and coping skills to deal with overwhelming emotions (usually anger or fear) Examine and address beliefs that are contributing to distress Learn about healthy relationships Mindfulness and self-awareness Unconditional positive regard Empathy Effective communication
- 18. Summary HPD belongsto the group of disorders characterized by A lack of a sense of self Difficulty forming authentic relationships High levels of anxiety and emotionality People with HPD are often thought of as “drama queens” One of the first goals of treatment is to identify the client’s dysfunctional behaviors and their function Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 19. Summary cont… HPDsymptoms are very common in today’s society which may make it more difficult for the person to identify them as problems or issues Therapists can assist the client in identifying target behaviors by examining the effect of these behaviors using motivational enhancement techniques When you….. How does it impact Your mood/health/energy & why Your relationships & why What types of things cause conflict or problems in your relationships? Why? Is this something you want to address? Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
- 20. Summary cont… Mostpersonality disordered behavior is egosyntonic. Help the patient identify the behaviors they exhibit which may be problematic Discuss in session what triggers those behaviors, what function the behavior served and other ways to meet that need. While it is true the behaviors characteristic of personality disorders cannot be completely erased, they can be boxed up and stored in the archives Recovery & Resilience International in partnership with AllCEUs.com Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89