Histrionic Personality Disorder (HPD) is a mental health condition characterized by excessive emotionality and attention-seeking behaviors. Individuals with HPD often feel uncomfortable when they are not the center of attention and may engage in dramatic or inappropriate behaviors to gain approval. Understanding the signs of HPD and taking a self-assessment can be the first steps toward seeking appropriate help.
What Is Histrionic Personality Disorder?
HPD is one of the Cluster B personality disorders, which are marked by dramatic, emotional, or erratic behavior. People with HPD have an overwhelming desire to be noticed and often behave in ways that are socially inappropriate or overly dramatic to draw attention to themselves. Their self-esteem is heavily dependent on the approval of others, and they may have a distorted self-image. (WebMD, Cleveland Clinic)

Histrionic Personality Disorder (HPD) is characterized by attention-seeking behavior and excessive emotionality. Individuals with HPD often display dramatic behavior and emotional instability, which can affect their personal and professional relationships. Psychotherapy for personality disorders, such as cognitive-behavioral therapy, is commonly used to help manage these symptoms.
Key Signs and Symptoms
Recognizing the symptoms of HPD is crucial for early intervention. Common signs include:
- Discomfort when not the center of attention: Individuals may feel unappreciated or unhappy when they are not the focus of attention.(Harmony Hills)
- Inappropriate sexually seductive or provocative behavior: They may engage in flirtatious or seductive behavior that is not appropriate for the social context.
- Rapidly shifting and shallow expression of emotions: Emotions may appear exaggerated and change quickly.(Verywell Health)
- Consistent use of physical appearance to draw attention: There may be an excessive focus on appearance to gain approval.(Sheppard Pratt)
- Speech that is excessively impressionistic and lacking in detail: Conversations may be vague and lack substance.
- Self-dramatization and theatricality: Behavior may be overly dramatic and expressive.
- Suggestibility: Easily influenced by others or by current trends.
- Considers relationships to be more intimate than they actually are: May believe that relationships are closer than they are in reality. (Mount Sinai Health System)
Prevalence and Demographics
HPD is relatively rare, affecting approximately 1.8% of the general population. While it has been more frequently diagnosed in women, recent studies suggest that this may be due to diagnostic biases, and the actual prevalence may be similar across genders.
Causes and Risk Factors
The exact cause of HPD is unknown, but several factors may contribute to its development:
- Genetic predisposition: A family history of personality disorders may increase risk.(Health)
- Childhood experiences: Inconsistent parenting, excessive attention, or lack of criticism during childhood may contribute.
- Cultural and social factors: Societal norms that emphasize appearance and superficiality may play a role.

Understanding the signs of Histrionic Personality Disorder is crucial for early intervention. If you recognize patterns of attention-seeking behavior and emotional instability in yourself or others, consider consulting a mental health professional. Effective psychotherapy for personality disorders can lead to significant improvements in managing HPD symptoms.
Treatment Options
Treatment for HPD typically involves psychotherapy aimed at uncovering the motivations and fears associated with the individual’s thoughts and behavior. Cognitive-behavioral therapy (CBT) can help individuals identify and change negative thought patterns. In some cases, medication may be prescribed to treat symptoms of depression or anxiety that can occur with HPD.
Take the Self-Assessment Test
If you recognize these symptoms in yourself or someone you know, taking a self-assessment can be a helpful first step. While this test is not a diagnostic tool, it can provide insight into whether professional evaluation is warranted.
Conclusion
Histrionic Personality Disorder is a complex condition that can impact various aspects of an individual’s life. Recognizing the signs and seeking professional help can lead to effective management of the disorder. If you or someone you know may be experiencing symptoms of HPD, consider reaching out to a mental health professional for a comprehensive evaluation.
If you or someone you know is struggling with symptoms of Histrionic Personality Disorder, don’t hesitate to conatact East Coast Telepsychiatry. Early intervention can lead to better outcomes and improved quality of life.
Histrionic Personality Disorder Screening
Answer the following statements using the scale below, based on how you’ve felt or behaved over the past year. This is for informational purposes and not a formal diagnosis.
1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Often, 5 = Almost Always