Histrionic Personality Disorder (F60.4)
Histrionic Personality Disorder
Section titled “Histrionic Personality Disorder”Histrionic personality disorder is classified in ICD-10 under the code F60.4. It belongs to the specific personality disorders and is characterized by dramatic, theatrical behavior and an exaggerated expression of emotions.
Diagnostic Criteria According to ICD-10
Section titled “Diagnostic Criteria According to ICD-10”The general criteria for a personality disorder must be met, and at least four of the following characteristics or behaviors must be present:
1. Dramatization and Theatrical Behavior
Section titled “1. Dramatization and Theatrical Behavior”Dramatization regarding one’s own person, theatrical behavior, exaggerated expression of emotions.
2. Suggestibility
Section titled “2. Suggestibility”Suggestibility, easy influence by other persons or circumstances.
3. Shallow Affectivity
Section titled “3. Shallow Affectivity”Shallow and labile affectivity.
4. Attention-Seeking
Section titled “4. Attention-Seeking”Continuous desire for excitement and activities in which the person is the center of attention.
5. Seductive Behavior
Section titled “5. Seductive Behavior”Inappropriately seductive in appearance and behavior.
6. Focus on Physical Attractiveness
Section titled “6. Focus on Physical Attractiveness”Excessive concern with physical attractiveness.
Additional Features
Section titled “Additional Features”The following characteristics may additionally be present:
- Egocentrism and self-centeredness
- Persistent desire for recognition
- Increased vulnerability to offense
- Manipulative behavior to satisfy own needs
Related Terms
Section titled “Related Terms”Histrionic personality disorder was formerly also referred to as:
- Hysterical personality disorder
- Infantile personality disorder
Prevalence
Section titled “Prevalence”Histrionic personality disorder occurs in approximately 2-3% of the population.
Differentiation from Other Disorders
Section titled “Differentiation from Other Disorders”Histrionic personality disorder shows overlaps with other Cluster B personality disorders:
| Disorder | Similarities | Differences |
|---|---|---|
| Narcissistic PD | Attention-seeking, egocentrism | In HPD more focused on emotional reactions |
| Borderline PD | Emotional instability | In HPD less self-harm and identity disturbance |
| Antisocial PD | Manipulative behavior | In HPD fewer aggressive tendencies |