Histrionic Personality Disorder Deep Dive | What is Hysteria?
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- Опубліковано 15 тра 2024
- This video answers the question: Can I conduct a comprehensive review of Histrionic Personality Disorder? I will review the definition, history, etiology, comorbidity, and treatment of the disorder.
Histrionic Personality Disorder is characterized by a pervasive pattern of excessive emotionality and attention-seeking behavior. It is a Cluster B Personality Disorder, which is the dramatic, erratic, and emotional cluster. Antisocial Personality Disorder, Narcissistic Personality Disorder, and Borderline Personality Disorder are also in Cluster B.
In the DSM we see that Histrionic Personality Disorder has eight symptom criteria, five or more are required for diagnosis:
1. is uncomfortable when not the center of attention
2. interactions with other people are characterized by inappropriate sexually seductive or provocative behavior
3. rapidly shifting and shallow expression of emotions
4. using physical appearance to draw attention to yourself
5. style speech that is excessively impressionistic
6. is self-dramatizing and theatrical, exaggerated expression of emotion
7. suggestible
8. evaluates relationships as more intimate than they actually are
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
Novais, F., Araújo, A., & Godinho, P. (2015). Historical roots of histrionic personality disorder. Frontiers in Psychology, 6.
Ritzl, A., Csukly, G., Balázs, K., & Égerházi, A. (2018). Facial emotion recognition deficits and alexithymia in borderline, narcissistic, and histrionic personality disorders. Psychiatry Research. doi:10.1016/j.psychres.2018.09.017
Furnham, A. (2014). A bright side, facet analysis of histrionic personality disorder: The relationship between the HDS colourful factor and the NEO-PI-R facets in a large adult sample. The Journal of Social Psychology, 154(6), 527-536. doi:1080/00224545.2014.953026
Bakkevig, J. F., & Karterud, S. (2010). Is the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, histrionic personality disorder category a valid construct? Comprehensive Psychiatry, 51(5), 462-470. doi:10.1016/j.comppsych.2009.11.009
Blagov, P. S., & Westen, D. (2008). Questioning the Coherence of Histrionic Personality Disorder. The Journal of Nervous and Mental Disease, 196(11), 785-797. doi:10.1097/nmd.0b013e31818b502d
Fernández, S. V. (2010). Carmen: histrionic personality disorder and psychotherapy. Personality and Mental Health, 4(2), 146-152. doi:10.1002/pmh.124
Sulz, S. (2010). Hysterie I: histrionische Persönlichkeitsstörung. Der Nervenarzt, 81(7), 879-888. doi:10.1007/s00115-010-3016-6
Cale, E. M., & Lilienfeld, S. O. (2002). Histrionic Personality Disorder and Antisocial Personality Disorder: Sex-Differentiated Manifestations of Psychopathy? Journal of Personality Disorders, 16(1), 52-72. doi:10.1521/pedi.16.1.52.22557
Dobson, M. W. D.-S. (2017). Hysteria and Self Psychology. Psychoanalytic Inquiry, 37(2), 66-72. doi-org.mylibrary.wilmu.edu/1...
Blais, M. A., Hilsenroth, M. J., & Fowler, J. C. (1998). Rorschach correlates of the DSM-IV histrionic personality disorder. Journal of Personality Assessment, 70(2), 355-364. doi-org.mylibrary.wilmu.edu/1...
Kellett, S. (2007). A time series evaluation of the treatment of histrionic personality disorder with cognitive analytic therapy. Psychology and Psychotherapy: Theory, Research and Practice, 80(3), 389-405. doi-org.mylibrary.wilmu.edu/1...
Apt, C., & Hurlbert, D. F. (1994). The sexual attitudes, behavior, and relationships of women with histrionic personality disorder. Journal of Sex & Marital Therapy, 20(2), 125-133. doi-org.mylibrary.wilmu.edu/1...
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I love how Dr Grande describes a dry uterus wondering to the throat looking for moisture, with total deadpan face 😆
That was a joke?
Hahhaha I was like OMGGGGG when I heard that. I’ve heard of the wandering uterus but wooow. Find that moisture 😫😂🤣
To a person who tends to easily create pictures in her mind, like me, that was a kind of bizarre experience 🤔😂
Vivien Leigh “Help mother is choking on a prune”!!!! Oh no it’s ok just her Uterus looking for a little moisture
Emma Claydon 🤣🤣🤣😭😭
Making a scene when they are not the center of attention. Most cats have this disorder, I imagine.
🙀😾How dare mew! Pffftt Pfffftt
When the cats want attention, they are gonna get though. Catrionic personality disorder 😂
jay I only see humor here. No hysteria at all and I don’t appreciate the insulting undertone either. That is completely not ok.
Not mine; they hide until they want food.
Some do, some don't. Mine do get right in my face when they want food, petting, or outside....and I said to one the other day "You're relentless! Just like (histrionic covert narcissist former friend). "
Would love to see a video case study on a person with HPD
I have HPD, study meeee
Please, yes!
I can capture my ex on video if you like 😸 (just kidding, I won’t give him the attention)
(if you really have HPD I've been trying to ascertain what parent/young child relationships look like with a potentially HPD or high trait female. Web searches not yielding much on this).
Just google Hilaria Baldwin
I had a roommate who fits the symptom criteria for HPD. It was exhausting to be around her for more than a couple of minutes, but some of her drama and the stories she would tell were quite hilarious.
Well, enough about me. What do YOU think about me?
haha
In very simple terms think:
* flirtatious- uses charm, sex appeal, smiles, clothing, laughter inappropriately to garner being liked or thought of as ‘attractive’ (think teacher/student, friends spouses, their children’s friends, waitstaff, coworkers..) *Theatrical - comes more ‘alive’ around others they want to impress by talking louder, using a different tone of voice, telling stories of their successes to impress (bragging inappropriately) or sharing a story of a ‘similar’ event that happened to them while acting out with exaggerated body language; arms in motion, imitating other people in the story
* Seductiveness- females: dressing inappropriately provocative for the occasion, purposely not wearing undergarments to elicit sexual attention. Males: wearing too tight, jeans, t-shirts, swimsuit, no shirt when trying to impress people.
*inappropriate compliments of a flirty nature
*seeking compliments from others on attractiveness
I once had a friend who would purposely go change her outfits to something more showy when attractive men -and women were present. She flirted with every man she encountered and had no shame nor care for whom she hurt or offended by her actions- her goal was to liked, admired and wanted at all costs. Never seen anything like it. Ended our friendship and she couldn’t understand why I disappeared. It was crazy making 😳
Ty for the Summarization✨✨
Sounds like you’re a bit envious cause you couldn’t keep up?
I wouldn’t have a problem if someone was flirting around unless they were doing it with my loved one.
@@louvretreekay12_ I agree with you…. And they chose to be friends with her.
@@sweet2sourr also she could have tried to be attractive all she wanted, sounded like men were not capable of controlling themselves around her if they managed to hurt their partner through her.
@@louvretreekay12_ if you like people who work overtime to ‘keep up’ you do you, it’s perfectly okay if it’s not for me.
Thank you 🙏🏼 for this upload. I’m 55, born in 1964. My mother was brought up in care - initially ( she being born in 1944 ) in orphanages by nuns. She attempted suicide when I was a baby, was very violent to my father and his parents. She spent a lot of time in hospital. She was diagnosed with HPD back then - which we never talked about. She left when I was 4 and came back and forth in my life until she died 10 yr ago. She never took responsibility for anything and was very emotionally abusive to me. I was terrified of her temper.
I’m just starting to research stuff.... lots on BPD out there but not HPD.
I very much appreciate this. Thank you x
There's lots of overlap between the "Cluster B" personality disorders and if you have one of them, you often have at least one other.
? Do you think you would have continued a relationship had she taken responsibility? I have HPD and I have spent a decade saying sorry and I think due to be afraid of me I have lost the only relationships that ever mattered to me. And of course worse yet my grown kids live without a mother due to estrangement. I didn't have proper DX until after they were raised.
I feel awful. I wonder if your mum did too and just never realized it??
@@JustOneOpinion The best apology is changed behavior. Saying sorry is a declaration of intent - not the action itself. Apologies can mean a lot, but people can be wary if they see your behavior after the apology as incongruent to the apology itself. I say this because a lot of my family give a verbal apology, although it is rare, and when they do, they do not even change their behavior, so it has little to no meaning.
Anyone who had ever been at the receiving end of someone with HPD would not think it’s a good idea to deny the legitimacy of this disorder. It’s easy to miss and you can go years knowing that something isn’t quite right and all the while you’re having emotional energy sucked out of you. It’s worse than narcissism in a way because it’s masked in magnanimity. It’s like spending time with a vampire who blends in so you can’t see what they are. After removing myself from a relationship with a Histrionic recently, I’ve been able to come off my anti anxiety meds... I didn’t even realize that the friendship was feeding my anxiety and depression until I ended it. It’s real!! Not to be ignored or underestimated.
Same here, just got out of a three year relationship. I knew something was off, but didn't know what. My Spider Sense was tingling within the first month of meeting her but I made excuses to justify her behavior. Unfortunately, I had a kid with her and she has caused a world of heartache and pain
Right. It’s so invalidating to hear when someone in your life is this way.
I've met a lot of people, and I study psych. I've worked in the field, I'm qualified in health and social care so I have a long background in working with people.
Anyway my point is, I think I've only met 1 person who fits the criteria. I can't diagnose, but I can observe. It is a really underdiagnosed disorder, people mistake it for a lot of other things.
The person I met, is the worst human I've ever met in my time on earth. I've met actual people with Aspd who cause less harm. HPD is a disorder wherein the person CANNOT ever take accountability. They have 2 modes: Victim and sexual manipulator. That's it. They have shallow, fast switching emotions that they cannot deal with, they use sex and fake victimhood to tackle every life problem and they enjoy the drama. Good or bad.
There's such little information on it but of all the PDs, I find it to be the most intolerable within society. There's no good place for these people. They don't want it and will never acknowledge that they are a problem. Narcissists who have no empathy are more pleasant than someone with HPD.
I am always banging on about not making generalisations or demonising any disorder, but due to how rare and how extreme this disorder is, I can't help but steer clear of people with it. I could not work with them therapeutically. I find them repulsive.
I'm sorry that you had the displeasure of engaging with one. I feel your pain, and I wish you healing from it ❤
@@ciaraskeleton alright but isn't it hard to diagnose this disorder especially if they have narcissistic Tendencies and possible BPD. I think a lot of these symptoms overlap. But I agree with your statement and have come to see that side of my ex. Sexually impulsive and a sexual manipulator. At other times she is loud and constantly plays the victim. Her last relationship she was with an abusive guy and now she has propped herself up as the figurehead of domestic violence and waves that flag everywhere she goes. Oh I forgot to mention she's a licensed chemical dependency counselor and a licensed professional mental health counselor
@@johnsparks9641 Yes it is, and I can't officially diagnose anything, the only one who can is a psychiatrist.
It's also very common for people to have both or all 3 PDs. People with HPD will almost always have a comorbid other diagnosis. So it's not a case of either/or it's a case of multiple things being true at once. Someone can have traits of all 3 but not qualify to be diagnosed with any. Someone could be diagnosed with HPD with borderline traits. Someone could be diagnosed with NPD and HPD. Our brains are super complex, and often times it's not just 1 thing at play but rather many things at once making up a whole picture.
The person I know, I can't be sure that she fully has HPD, but I have witnessed 3 years worth of consistent 247 traits. As well as symptoms of PTSD, and symptoms of bpd. The reason I used this person as my example or case study here is because they're the only person I've met, even out of s plethora of psychiatric patients, who presents with mostly histrionic traits. That seems to be the system that her brain uses the most to tackle daily issues. She is exhausting all round.
I understand npd and bpd so well, and I can really resonate with patients with those disorders, even Aspd, but I truly struggle with relating in any way to HPD type people, but I'm educating myself and trying my best to further my understanding
Re: dysfunction
The people I have known with diagnosed HPD have often described dysfunction in terms of acute rejection and identity-related distress. To paraphrase, they have described things like feeling the need to perform as so ingrained, and for such a long time, that attempting to review authentic elements of their personality yields very little. Underneath the performance, they don't have much of a sense of identity. They feel unable to stop performing, are not sure who they are, and experience frustration when trying to identify and honor elements of an authentic self.
Additionally, they want to be close to others, but people are often either overwhelmed by their liveliness and familiarity, or people like them *because* of their liveliness and familiarity, and when for some reason they are not displaying these behaviors with the same amplitude, the people who liked them for those reasons become less interested, creating a feeling of rejection. There is also the sense that people like them for the mask and performance, not for who they really are - whoever that person is.
The perception of relationships as closer than they really are can also create a lot of pain. Again, some people may be overwhelmed by histrionic interaction and create distance from the histrionic person. Often what happens is that the histrionic person is confronted in some way with the fact the relationship is not in fact as close as they had perceived - again creating a feeling of rejection.
Regarding dramaticism and impressionistic speech, people often became habituated to this kind of interaction, because most expression was exaggerated or at least intense, people did not always take them seriously when there was a real problem. Symptoms created situations in which truly intense and important experiences went unrecognized.
At least one person expressed frustration with his suggestibility; trouble sticking to consistent values limited sense of authenticity and self-continuity, but it also made him feel vulnerable to the influences of others, which does not always turn out well.
Again, these are paraphrased from descriptions given by friends and acquaintances who have been diagnosed with HPD; it's not my personal experience or inference. It's worth noting at least two of them had comorbid BPD, and one of those two also had comorbid NPD (all diagnosed), and these contributed to symptoms and the impact of symptoms on the individuals' internal lives.
I thought it was interesting, and worth speaking about because it's not something I've often seen directly acknowledged in discussions of HPD by clinicians or peers/loved ones, and these persons also recognized that (legitimacy as a disorder aside) there is less discussion of HPD than the other cluster B disorders, and perhaps even less understanding of the personal impact that HPD had for them.
Thank you very much! /srs There is so little information on hpd around /gen /nay /srs
That's really interesting. You can see there how HPD has some similarities and overlap with BPD and NPD.
@@th8257 I have BPD and HPD and some traits of VNPD. I however have a great deal of empathy so that always throws me off. I really need good insurance do I can get solid treatment. UA-cam has been wonderful but I need more. I honestly don't think I was aware of having these personality disorders until the last few years and I am 49. I used to call my household "dysfunction junction" as a joke....but it wasn't a joke. My entire life has been constant dysfunction...just ask my 3 ex husbands!!! All.of whom had their own PD's and came from dysfunction too!! Ugghh I used to think everyone's life was like this. I am actually happy and yet a tad envious that that isn't true!!! Here's hoping!
Thank you for giving them a voice I resonated with that very much!
A rare considered and compassionate response on the stigmatised cluster b
I grew up in the presence of this. As I always said growing up, this person could rob a bank, shoot me in the foot , I would say hey why did you do that - and then she uses histrionics to get everyone to beat me down. Accountability IS the perceived slight. This disorder is when asked for honesty (they have to maintain a false image of themselves) will implode into hysteria as if being lit on fire. This is an act to get everyone in the room to cater as if in an emergency and seek to destroy the person who lit her flame. This is sickness. It is a form of severe abuse
Great video. It calmed my overactive demons with rising uteruses seeking humidity from coming out of my mouth with hysterical sarcastic remarks. Well, maybe not. I am not sure how you got through those opening lines without laughing! Hats off. 👏
'Histrionic' comes from the Greek word "histrio' (actor), NOT from the Greek word 'hystera' (womb).
@@milky.funland how can anyone be expected to keep anything straight and cogent when they're under the influence of the womb?
The word "hysterical" from back then seems to be the equivalent of "narcissistic" these days--at least in terms of gross overuse.
Addendum: There's a reason why diagnosis of mental illnesses and/or disorders are best left to qualified professionals.
Thank you for yet another interesting deep dive, Dr. G.!
Thank you oh soooo much for speaking out this truth. I've meanwhile given up on explaining this over and over. Yes, indeed, there is a reason for this...
P.S. psssst...Diagnosing is difficult.🙂
Qualified professionals have diagnosed me with Schizophrenia, PTSD, Major Depression, Bipolar Disorder, Social Phobia, Borderline Personality Disorder, and no mental illness whatsoever. One day I'll get the actual diagnosis and some kind of treatment.
@m norton buswell I've never dealt with insurance companies, just unemployment benefits when unable to work.
@@mrs.reluctant4095 I feel your pain... I've also given up on trying to explain, so I just reverted to posting my opinion, and everybody's free to choose what they do/don't want to take on.
I appreciate your comment--it's nice to see there are still people who stay away from rash judgments RE diagnoses. :)
@@churly9717 I'm sorry you're having to deal with all this! Have you considered that at least some of the diagnoses may be correct, insofar as there may be multiple co-occurrences?
Don't get me wrong, I'm not suggesting that's actually the case--just throwing out an idea...
I love all your videos. This disorder definitely needs to stay in the books. It’s spot on if you know a person with this disorder. It’s different than borderline personality disorder. I had issues avoiding everything growing up from my family dynamics. I finally don’t have severe anxiety and panic attacks anymore. I will keep working on my self care because I would never give up my new found peace. People with these dysfunctional dynamics end up around others with personality disorders. It’s rough for everyone and it’s a perfect way to add on another personality disorder to the pile. A rough time would be defined as a mother mirroring her personality disorder onto her child. Then the child ends up with their own personality and then a conflicting projected one. Sometimes the mother tells the child that they are imbalanced and the one messed up. For years! Then the child is so fragmented that they look insane and then mother points finger at the child she actually purposely brain damaged. This stuff is no joke. Not really genetic as much as extended. Especially Narcissistic parents will actually make sure the child is so backwards just to scape goat them when needed. Sometimes even frame them. It’s So sad and disgusting.
I'm almost positive my Mother intended to push me to committing suicide & her biggest disappointment at the moment is that I am finally mentally healthy.
Hi my name is Candice and you just wrote my life story.
@@JustOneOpinion I'm glad you are with us & hope you're doing better.
@@mizmiz80 & Candice I feel like it’s a game for them to push the scapegoat to suicide. Then they will use death as narc supply. I don’t want to live in fear anymore. Truth and standing together unified will destroy their narrative.
@@ladylucid1169 i was so gaslit, I didn't even realize that there are people who would do this & then use your death to gain sympathy/supply. It took me witnessing someone else's mother behave in this way to realize it & she was nowhere near as cunning as my own mother. I am so happy for those of us that made it but sad for anyone who gave in.
My mother is histrionic and narcissistic. No one believed me how bad of a person she was because she was always “so nice and welcoming” and she also was funny and a great hostess. She was best at drawing a perfect family picture while our home was shattered. Her histrionic personality for sure helped to cover up her tracks. She abused me until adulthood and won’t stop if she isn’t completely ignored and shut off. Her constant demand of attention was always embarrassing and I felt left out, never good enough and also very alone because no one would have believed me how awful she could be.
Therefore, I’d like to differ if histrionic personality disorder could be harmful.
Histrionic moms often “abandon” their children because the focus on being social. A lot of them have substance abuse disorder too, which makes it even harder, and also the way they show love is usually by taking their daughter to get a mani pedi, to shopping, dress up, stuff like that… and boys are usually left to be the man of the house and grow up too fast… knowing someone up close with the disorder and seeing what it did to her kids is sad! And the thing is I already see histrionic traits in her daughter and narcissist traits in her son 😢
I am glad there is a term to describe my mother so perfectly. The description is beyond accurate. She is the definition of histrionic . Also a giant abusive monster when not trying to charm you. Also probably BPD .She is now 86 and finally we are all safe because she is in a nursing home. Thank you for your work.
I can totally relate. My mother is histrionic and narcissistic. My dad full on antisocial and narcissistic. Didn't figure it out until I was 45. (I knew something was wrong with them but didn't know what lol) Both highly physically and emotionally abusive and who never took responsibility for any of their actions. Like water off a duck's back. It's very hard on children who grow up with these kinds of parents, but it made us tough, that's for sure.
Tough enough to hold them accountable, out loud and to their faces, whenever the occasion presents itself.
Poor those who work in that nursing home 😢
Interesting that this condition is considered to be relatively rare. I've met a lot of people over the years that likely qualify, but perhaps it's one that rarely gets as far as therapy, remaining in the "Bloody Irksome for Everyone Else" category.
I also don't believe that it is that rare. But maybe I can see it better than some others, because I have had a great role model for this personality disorder in my older sister. Just because a diagnose is not made that often, does not mean that it in fact is not there. ;-)
I agree, I think that it is more rarely diognosed. It's probably difficult to asses in a few therapy sessions. You would probably need to see the patient farely frequetly to dignose a person and they probably deny the diagnosis as well.
Omg I worked with a girl with this disorder 20 yrs ago in sales,when I saw her car in the parking lot I would go home........dispicable
For some reason, histrionics don’t like to go to therapy, neither do narcissists, borderlines in the other hand… we love to tell everyone about our traumas and abusers hahahahaha we love being heard and having someone trying to help! I never really told my therapists they suck or I hate them… I do see things black or white, but never actually told my therapist he was the worst person, etc…
Can I just say that the summarized history of the disorder at the beginning is a great addition? It really adds some context to where certain ideas surrounding the diagnosis and treatments come from, as well as problematic elements lingering in the existing stereotypes, and so on (not that I think many counselors now will say that a woman's uterus is moving around because it's dehydrated, but you get the idea).
I didn't know that HPD had so little research backing it up. Very informative video as always Dr. Grande.
Great video. One of my good friends was diagnosed with HPD during her divorce from a grandiose narcissist. She is such a good hearted person, but does all the behaviour you mentioned, Dr. Grande. The constant talking about sex, showing other women's husband's her underwear, "fake huggy kissy warmth", horrible medical issues, etc. Her career is really great as she is in ...you guessed it...sales. Everything in life is drama. She sadly re-married a covert narc.
You are a brilliant, equanimous, compassionate, and incisive human being. Thank you.
You fawn a bit. Really, I think this is a bit tooo much...🙁
Gosh, thank you very much
I like that you elaborated a little bit more about what low conscientiousness actually means because I had a somewhat different definition of it in my mind than what you explained.
I've only met 1 person who I think had HPD. She was overly-dramatic, hyper-sexual and impulsive. It lasted approx 2 weeks lol. She was estranged from all of her family members, married a couple times and had a horrible (no verbal contact, ever) with her ex with whom she shared a child. IMO the estrangement (and probably prior childhood experiences) played a big role in her behavior/cognitive patterns. I've also dated a borderline (or covert narc) and these 2 people were very different in their public presentations but very similar at their (personality) core.
__I believe I had relationships with both a HPS and BPD also. While both relationships were decades ago, I now recall both personalities as they are currently described in the DSM. They were distinctly different from each other.
__I do recall one characteristic they both had in common, (here I'll reveal my lack of psychology training); as the relationship(s) became "closer" they both displayed little signs that they were (what I call) roll playing. It was as if their sense-of-self was absent, and they were faking a self. That they were using me to define a "character".
__With both women I had the reoccurring feeling that I was involuntarily on a their stage while they refined their presentation. In retrospect, neither cared who I was, rather, they cared intensely how well I played my assigned character. Indeed, since each lacked a "self", why would they seek out mine? Unfortunately, I presumed they were "normal" and "healthy" and just different. I felt the reason I didn't understand them was my lack of perception and/or intelligence. I thought of them as mysterious females. Only decades later did I accept that they were just incomplete (One taco short of a #6 plate). And only decades after that did I realize they were atypical and in fact HPS and BPD.
__Better late than never, I guess.
Lol sounds like you’re describing my sister exactly. Estranged for sure, and currently we’re trying to figure out custody of her child between us because her taking care is just not feasible :/
Are you a psychologist, or just going off of some traits that you observed?
@nimbleneedle perhaps it is the fact that you don't really know these people fully, yet you judge, diagnose, and then engage with them like they are volitile - is what's actually triggering their defensive behaviors.
@@Pugetwitch DSM5 criteria for HPD
Thank you Dr. Grande. Definitely interesting to see how histrionic and borderline are comorbid. I was dating someone that had an overall histrionic personality type with borderline line and narcissistic traits. She is still a very dangerous individual to say the least. The lack of insight of impair socially I think is a great point. Millions of superficial followers, but at an intimate level she can't handle the attachment.
Thank you so much Dr Grande. I really appreciate your expertise and professionalism. You are attentive to your subscribers, and a kind person. Thanks again for all you do.
Thank you for taking the time to explain this disorder more thoroughly. I am currently working on a novel based on my own dysfunctional family history, and I thought maybe my maternal grandmother had HPD, but now I feel her behavior meets more of the criteria for narcissistic personality disorder. She was born in 1935, to a family with a long history of mental illness and addiction issues. Her father was a depressed abusive alcoholic, so her childhood was very unstable to say the least. As an adult, she always dressed to impress and used her sexuality to charm everyone around her, but behind closed doors she could be a very cruel and demanding wife and mother. She likened herself to the Gabor sisters or Ann Margaret, but my brother and I thought she was a shoe-in for Cruella Deville. Her husband, my grandfather was also a narcissist, and was the spoiled golden child in his family. They had 3 kids together. My mother, the oldest, was the scapegoat, my uncle Joe was the golden child, and my uncle Guy was the forgotten child. My mother suffered with regular bouts of depression and displayed 8 of the 9 symptoms for BPD. She married a narcissist as well, which meant my childhood was filled with endless waves of abuse and neglect. My mother never received proper treatment of her depression or BPD, and her life sadly ended in suicide at the age of 61 in 2017. Gaining a better understanding of these disorders has helped me get closure and find peace. I appreciate the knowledge you share on your channel, and look forward to more of your content.
My mother fits quite narrowly into this category, and I can tell you her parenting was some way of ideal to the point that I have developed serious avoidant personality traits. So I for one would not mind if more effort were to be poured into researching HPD.
I'm pretty sure my mum has this aswell. It can make it difficult to live with her
Yes I think these traits of histrionic personality disorder stand out as very unique from the other disorders such as narcissistic and borderline. He did not mention how and when anxiety overlap with histrionic personality disorder (not that I heard, anyway) or whether there are psychotic features. Personally, the people I've known who obviously have HPD traits are usual female and usually have schizoid or psychotic features as well. Unfortunately, it seems that men with NPD and women with HPD do well many times in a capitalistic society, but their home lives are absolutely disastrous.
Agreed.
Greetings! I’m writing from two years into the future and let me tell you, this video is going to perfectly describe an actress who is being sued by her famous actor ex husband. You’re going to love doing a video review of the psychologists who will testify.
She is all 3 - HPD, BPD, NPD.
Amber Heard
Thank you for all the great content! The list of references in the video description adds tremendous value and inspires further reading!
This is EXACTLY what I needed. Many, many, many thanks for this!
This is why I love your vids, straight forward and to the point. Glad someone asked about this one! Thanks again !
💙💙💙
My favorite channel on UA-cam!! So good! Hats off Dr. Grande!
You are my favorite go to about psyche, detailed, on point and comprehensible. Thanks so much for doing these vids 😊
I can't say enough how timely this is to hear this in my life right now. I was damaged by a Histrionic relationship about 30 years ago. My therapist labeled this relative as a Histrionic. That's all that saved my sanity all these years was that label. Today you nailed this person to a 't' and I feel hopefully I can now let go of guilt, shame and a whole smorgasbord of negative emotions and truly live and dream again. Thank you
Thank you for all of your videos. I really enjoy how balanced and logical the discussions tend to be, and the videos have helped me in my neuro-psych classes as well! We only briefly discussed cluster b personality disorders :(, but at least I can learn more here.
Great video, Dr, Grande. Thank you for explaining "impressionistic"; I always wondered what they meant by that! And your new (?) glasses are very nice!
Dr. Grande thank you so much for doing a video on histrionic personality. I had requested it and you certainly have responded very quickly.... despite how busy you are. I’m sure I’m not the first, however. Thank you you are so logical, easy to understand and calm. 😉👍
I'm just realising how much I'm learning from following your channel, Dr Grande. But also aware that it definitely won't be a good nor appreciated act to start diagnosing friends and colleagues. We can all think what we want but have to be respectful of the "rules for engagement" in various relationships.
Thank you very much for the content. It is very informative and well presented.
I love when you dig into a condition's background story. It's good to remind ourselves that it's all moving, growing and changing.
Great content! It is really hard to find such scientific information about personality disorders elsewhere. Thanks a lot for your helpful videos!
It's always nice to hear the history of modern terminology. Thanks!
Wonderful video Dr. Grande! I really enjoy the “Deep Dive” analysis that you do. Interesting disorder but I can certainly see how it overlaps with other personality disorders.
Thank you as always!
Well said!
Thank you for the video. I had been wondering about this disorder but it is not discussed very often.
This kind of video I was seeking for almost a month after I realized that I got or histrionic or borderline disorder. Thank you for this.
That’s a fascinating video. Mostly because the disorder doesn’t have enough research done on it, so it leaves one asking questions. Informative media should always leave us asking questions.
Hello Dr Grande; Good video. Good detail yet simplified to be understood.
Dr I concur! Thank you for your Revelations and informative dialogue I can't thank you enough for giving me an understanding of NPD in particular you are a profit to me and helped me to understand the narcissistic abuse I was being exposed to you gave me the ability to end this cycle of abuse
Thanks Doctor Grande. I just asked someone this question! You are the best.
The "wandering womb" idea actually makes sense with what we know about trauma and the vagus nerve - this nerve travels from the brain to the uterus and touches all the other major organs along the way. People who have experienced trauma resulting in collapse often have trouble with their vagus nerve, they have an activated "dorsal" vagus (which regulates the organs below the diaphragm - like the uterus) and an underactivated "ventral" vagus (which regulates the organs above the diaphragm like the heart, controls the muscles of the neck and face that allow someone to speak, regulates emotions, and is a prerequisite for a feeling of safety in relationships). So someone who had this would have a general body experience of wanting their primary energy and awareness to move away from their gut and hips (dorsal vagus) and move towards their face and throat (ventral vagus). The more I read about Polyvagal Theory, the more I understand why the ancients thought what they did about hysteria, they were on the right track.
Liz L Interesting. Thanks for that.
Thank you for your great work! Sometimes I wonder if you sleep? You are very productive 😉. Obviously your videos require a lot work and research. Keep going! it's always so interesting and instructive to listen to you!
Thank you for making an in-depth video about HPD, Dr. Grande. I don’t know much about the disorder and I don’t think it’s talked about that much. Then again, I can understand why it’s underresearched. It’s probably not as interesting as other personality disorders, even personality disorders within the same cluster as HPD.
This is something I truely always wanted to know, Thank you for the history of hysteria and hysterionic pd
Doctor this fits the current situation so well. You don't know how often I use this word these days... Thank you and have a reasonable day. 💟
@Danielle Bridgeman Yeah, a great deal of overlap between these two, they aren't that sharply distinguishable . Some clinicians sometimes define narcissism in a quite histrionicly sounding way (esp.. Italian, Austrian and Gernan psychologists, American seemingly doesn't have this tendency that much ) and other way around and communicate this to people who then identify as such. It's not an exact science. Thank you for your comment, have a nice evening. 🙂
You made that so clear for me that I really felt like I grasped the material and dovetailed it with other diagnoses. I’m grateful, thank you 💛
Thank you Dr. Grande, for another illuminating video!
Excellent thought processes here, right to the end.
What a great analysis. I know two people personally that fit the list of characteristics very well. I believe it is probably more common than what is stated by behavior researchers.
Really educational & interesting. You explain things in layman’s terms I think so I have the opportunity to understand & learn. Thanks
You continue to amaze me! Your deep dives give a succinct yet very clear description of all the main features of any psychiatric condition/disorder that even us non-professionals can easily understand. I learn so much from you Dr. Grande, thank you again and again!
My mother has HPD. I really appreciate this video.
I find this content very useful in making sense of the world I exist in. Not only does it enable self-reflection, it allows me to recognise that I exist in a world, not only of varying intellect, but also of behavioural sub-sets which can be diagnosed and acknowledged with some precision.
I really enjoyed how you broke down my "unique" brain. I am a man, raised by single mother, dramatic yet almost supportive childhood. I'm 37 and have had one of the most insane life's ever!! Not a narcissist. Like I feel like I can help in this research. I'm living in long beach now. Let me know where I can go to help research happen. Or contact me personally. Thank you so much for the information. It makes me feel good that I'm not alone. Also, I'm only 4 of 8, but all of the others.
Glad you covered HPD. I'd love to see you talk more about the various cluster B, PD. Interesting thing for me is that I believe I have 2 relatives with this disorder, one blood, one in-law. The in-law has done a psyche evaluation and tested showing she met the criteria for NPD (which I can also see) and had a therapist dx BPD. I personally don't think she meets the criteria for that one...but I am not the therapist. She also was found to show criteria for somatization disorder as well. Both of these people have to be the center of attention, even during a crisis that is NOT their crisis. Both are constantly sick with some ongoing illness that never gets cured and has bizarre symptoms. They both make scenes, are loud, don't really allow others to talk or have anything ever that they can't make about themselves, and seek attention in every situation. They both can use physical means imagining that men are interested in them or objectifying them when it is not actually occurring. The in-law speaks in that impressionistic way, vague and basic. I find it interesting. The in-laws siblings also show signs of personality disorders as well, although maybe not the same ones. I would like to hear more about why this might be? Also what should a person do with this type of ridiculous behavior, especially when it's at completely inappropriate times? I haven't found anything that works.
I do not agree with the no anger for HPD....my mother is diagnosed with HPD and only HPD and she had horrible mood swings and anger when I was a child. So, I don't know about the no anger....at least not with people they are close with. With people she is close with, mainly romantic partners and children she would show horrible mood swings, but in front of friends she would hide it.
Thank you for this video. In the legal case between Johnny Depp & Amber Heard, she was diagnosed with both Histrionic Personality Disorder and Borderline Personality Disorder.
100percent correct
The cluster B disorders commonly overlap.
as a psychologist fro Iran i appreciate your profound knowledge
I hardly ever make time to read the comments.... I’m going to now😉! Great topic Thank you Dr.G
Love the Deep Dive videos 👍🏼
Very useful and thoroughly explained. Fritz Riemann wrote the book Anxiety in which he describes four fears and one of them is fear of necessity; there he includes the hystrionic personality type. I have psychotherapist friends who find Riemann's typologies helpful in their practice. They tell me that hystrionic personalities are very hard to treat in clinical sessions. Perhaps it could be seen as a developmental disorder in combination with vulnerability regarding personality traits (neuroticism) and other dysfunctions.
It would be really interesting to hear your explanation of more historical illnesses and how we might interpret them today.
Great discussion as always, Very informative. The question is: serial killers--according to Janine Driver, have these 5 traits in common: bed wetting as a juvenile, likes the color orange, poor sense of smell, likes Hip Hop music, tongue protrusions displayed. Odd cluster of behaviors; Janine then showed a picture of about 20 former mass murderers & said they all had that in common. Any speculation or discussion=Great!
I read about that! I forgot to look more into it! Thanks for giving me a reason to not clean!!🤣😂 I was totally blown away by it I was like "no way"! I remember reading that it was actual true when looking into specific serial killers. It just blows me away.
Wow, interesting.
@@Ginabina76 I was a bit taken aback by The Strange assortment of behaviors. Janine driver is very trustworthy reliable and accurate.
I'm also a big admirer of Dr. Grande.
@@martcichocki5571 what gets me is the comparison across serial killers and a lot of those ringing true. I dont necessarily agree with the rap music one though lol
@m norton buswell I second the Hip Hop sentiment. I remember back in the late 80's - early 90's when they said "Heavy Metal " was a sure sign...its likely whatever genre subverts what the "polite company" of the day is listening too at brunch or cocktail hour.
One more thing- I was just thinking about the conceptualization of hysteria and uterus disorder. The Greek word hystera means uterus. Now, we still use this root word “hystero” in medical terminology as in hysterectomy (removal of uterus), hysteralgia (pain in the uterus), etc..
Interesting connection:)
You have some good knowledge about that Rejane. You told me you're working in a hospital. Can I ask you about your profession, if you don't mind? Are you a medical doctor?
pocoeagle2 Sure, I am a Clinical Dietitian:)
I am not a medical doctor but I still had to study medical terminology, pathology, etc.. in order to have adequate background while assessing patients.
I see, well that's interesting to know Rejane and so yeah I understand now why you have more knowledge about the human body and related medical issues.
Have a great day Rejane 😃
pocoeagle2 I also enjoy the human mind very much Ben:) I actually considered studying Psychology but being a mental health counselor wouldn’t be a suitable profession for me- I am too empathetic.
I hope you have a wonderful day too Ben!😉
You're the best. Please don't ever sell out like Dr. Phil.
I was looking for something else but this was interesting for me so I stayed for the whole video.
My psychiatrist thinks my mom has HPD and NPD. When you talked about people with HPD confusing over activity with productiveness I immediately thought of my mom!
can you make a video on how/if intelligence effects the way personality disorders present themselves, like the symptoms and such?
Sometimes I think if your intelligence is higher - you have more mental disorders
Not so much intelligence, but innate and learned coping skills. Those with more coping skills for stressful events - things such as mindfulness, grounding techniques, separating positive and negative thoughts, logical and emotional thoughts, breathing exercises, locus of control, etc. can help people even with personality disorders and other issues to function much better, as does medication for those who have tried everything else without much success in their lives and found something that works for them. That is part of the answer. Other parts involve biology, psychology, the social environment, finances and family dynamics. With any personality disorders, symptoms can be masked by those who fear or do not want a diagnosis, and who try to hide symptoms and/or manipulate words and events to try to make things seem different, which can cause some people to go their whole lives without one. usually, this does not make things better long-term with their family and friend relationships, as many people can tell that either something is not working or they are being manipulative.
Actually "Histrionic" refers to the word root meaning dramatic/melodramatic. It comes from the Latin words histrionicus and histrio which mean “actor.” Not womb or anything related to female anatomy.
Yes. My vision of someone with HPD is what we call a “ Drama Queen .”
The uterus came into play when male psychologists decided it was a woman’s disorder.
Thank you, Dr. Grande! Watching now 👀 👀 😊
Thank you, Dr. Grande. Question: would fixating over food touching, say, as a child, qualify as OCD? Do you see people with OCPD worrying about their food touching? What kinds of worries, fixations, and behaviors do we see people with OCPD have? As always, thank you for these priceless videos.
Thank you for all of the great videos and information! Can you do a video specifically on histrionic narcissistic personality disorder? Growing up with this combination from my mother (as well as dependent PD) was quite harmful. I'm curious what your analysis is on this particular combination is.
Also I really disagree with this not being a valid disorder. It should be retained and I really feel that more research should be done. It's existence IS causing harm... to those who are forced into relationship with them. IOW I was a child, so I had no choice than to be in relationship with her.
To be subjected to this constantly was so harmful... I am spending loads for therapy to try to grieve and heal etc.
Thanks again for the videos!
Text book case of this disorder was shown by the character Jennifer Anniston played in 30 Rock . Always love the videos - thank you Dr Grande
I know a girl I had to cut ties with who was so dependent on not only myself but everyone she came in close social contact with. She fits all the criterion that was mentioned. She was only prescribed adderral for her adhd, which threw me for a loop because I knew there had to be more to it than simple adhd. If only there was more research on HPD...
I treasure the information I find in your videos Dr. Grande. So, thank you. When you spoke about the personality profile of HPD, under agreeableness: Low. But in the facets of trust(?) and altruism individual with HPD would actually score high. Can you expand on this please?
'Histrionic' comes from the Greek word "histrio' (actor), NOT from the Greek word 'hystera' (womb).
Thanks for posting the video Dr Grande, I would just like to comment on the fact that you have mentioned in a few of your videos that you are not sure if HPD is a personality disorder which should be considered to be one which is `serious´. While it might not have a seriously negative affect on the individual suffering from it`s ability to function in society and on their life in general, I can assure you that it should definetly be considered a disorder which should be treated with all due seriousness as the actions of people suffering from it can have a devastating affect on the lifes of others. I had the missfortune of living with someone who was defintely suffering from HPD (I can explain the reasons why she suffered from it very easily knowing her life history, it wasn`t somebody that I was in a relationship with by the way) and her actions have had a totally catastrophic affect on my life over a 22 year period and continue to do so to this day. I actually started writing an account of what has happened in January of this year and hope that the story will perhaps be of interest to some publisher and to medical proffessionals and people employed in the justice system also. Please never forget to consider what a destructive influence people suffering from this disorder can sometimes have on the lives of other people when you are treating them.
Love your work! One suggestion- why not make videos (or some at least) a bit longer?
I have features of Histrionic PD. DBT has saved me. I’m not exhibiting any more but I love how it’s helped to shape my life.
Brilliant as always, dr. Grande! Marilyn Monroe was the most famous histrionic of all times. She was the pure definition of histrionics.
Then, I had a female boss who was both histrionic and psychopatic. Can these 2 conditions live well with each other? She made the company lose a lot of money by firing me just because of her necesity of revenge. When we went to trial, I won and this enraged her so much, that she payed someone to stalk me and beat on me. I reported to the Police but it is difficult to demostrate it was her behind the violent act. I consider this behaviour very psychopatic. They cannot accept when they lost. Then, she was over dramatic, over sexualized and needed to be the center of attention all the time. She had transformed our office quarters in a brothel. She dressed inapropiately. She not only flirted with men, but was sitting on their desks exposing her breasts and lower parts. When I reported her inapropiate behaviour to management she accused me of lying and got me fired. Management had no clue she was acting like this. After the trial that I won, they put cameras in the office and one year after witnessing her pathologic behaviour, very damaging for the company, they finally fired her. It was when she hired that man to physically attack me. Nuts as Hell!
I know I’m late to the party, but thank you Dr. Grande for covering this disorder in depth. It’s interesting that very few people in the comments identify with this disorder as much as they armchair diagnose people they know. I haven’t been diagnosed, but based on information I’ve gathered it’s reasonable to suggest that I have HPD, because I have most all of these traits without much overlap. DSM or no, Living with these traits is extremely frustrating. It blocks productivity, makes healthy routines close to impossible, and creates a vortex of dependence on others for validation and gratification. I can’t maintain friendships/relationships, I’m constantly examining my body in the mirror, constantly looking for that next emotional high, it’s exhausting. I resent others for not talking to me, I HATE being ignored. I just want to feel validated. I just want to feel like a complete person, without female attention or the need to constantly seek advice from others. HPD needs to stay in the DSM. I’m a male who checks all the boxes
I often wonder sometimes if these personality disorders are created during childhood as a way to cope with rejection or to create acceptance or both. Perhaps when one finds their true self, or is comfortable with their true self, they can stay in that mindset or consciousness. However, when one has success with one over the other but does not feel at one, they go back and forth.
Most probably. My mom had a stepmother when she lost her mom after 3 years of cancer at age 9. 1947. She was pulled from school at probably age 14....to start sewing from sunup to sundown. That could explain distrust and money issues. More horror to follow. Figured this out too late. Spain. My poor dad said....I missed it. 🙁
According to what Dr. Grande said, I think I am a little hystrionic, and what I am experiencing through this, is that, It is both enjoyable, and exhausting. When I provoke people, I feel excited, because I often become frustrated of the same normal things happening over and over. The variety is fun. But in the other hand, I wonder why am I so superficial, and cannot rest instead of seeking for entertainment. I feel, and I know, that it's a barrier, that's why I am watching this video.
I appreciated your description of this and other psychological disorders. I'm wondering if all personality disorders aren't spectrum disorders. I can always see myself and others as shades of function/dysfunction. Some of it works for them, even if it seems to me that it's a shot in the foot or getting cut off at the knees. I have a much older sister who is a classic hysteronic. While I love her, I also find her so outrageous that I can no longer have a relationship with her. But her dysfunction seems to work for her. Okay. So I wonder what shade of disfunction am I? And if we're on a spectrum, where on the spectrum? Just some thoughts.
Thank you for all that you do.
Lack of love and affection followed by a parent who is narcissistic might be the cause....My dad was always one to build me up even when I was wrong or disrespectful. He made me feel like I was the best thing there was. Then on the flip side my mom was a meth addict and she was never there to give me the love and female validation and attention that I need. So I now think I have this disorder, and I'm in the process of getting diagnosed. I have symptoms from a lot of disorders but this one fits all those others in kind of because of the attention seeking part which I realize is always my real goal. To feel loved and validated, and have a sense of security that it's unconditional.
To feel loved and validated is BPD. HPD is more about being seen and having attention. BPD seeks love and always wanting to be liked being a favorite etc, vs a histrionic wanting all the attention and doing all sorts of things to get attention on themselves
I know this video is old, But I really appreciate your content. :)
Doctor, I would be interested in hearing your thought on Keith Raniere and NXIVM. I enjoy your videos. Thank you for posting them.
I think they should just cluster the symptoms of Borderline and Histrionic into the single diagnosis of Histrionic Personality Disorder (as hysteria can also refer to other forms of neurosis like hypochondria, phobia, and mania) with Negativism and Petulant as its subtypes because both diagnoses involve dramatic and attention-seeking behaviors to greater extents than others. It's easier just to say that Histrionic is on the milder end of the egocentric spectrum (the affective empathy and social cognition only alters when in they're in their emotionally reactive states), Narcissism is in the middle, and Sociopathy (lack of remorse) is on the severe end.
Yeah. I’m diagnosed borderline, but I’ve always had a lot of histrionic traits, especially in my teens and early 20’s… the histrionic part calmed down with age and stability, but my borderline traits remained… BPD has helped my borderline tremendously, and taking medication and being sober too, but if I don’t watch myself sometimes, I’ll just explode for no reason 😥
This answered many unanswered questions for me regarding a person to whom I have been very close.
What I am still wanting to understand is HOW co-morbid npd/hpd would present differently than an npd as hpd or vice verse differential diagnosis
Very interesting. I believe a woman I know was misdiagnosed. She is definitely in the cluster B PD. I believe she has histrionic PD along with Ganser Syndrome. Being with her daily for the last 2 years, it’s quite evident. It’s very difficult to deal with & boundaries are a necessity, however tricky to conquer. I am a psychology graduate & enjoyed this video.
Great video Dr. Grande! I was reading in some of Theodore Millon's work on personality disorders and he seemed very convinced that HPD and ASPD were the same underlying pathology expressed in different gender roles. What do you think of the idea of having HPD be a subtype of the ASPD diagnosis? It seems like it's a way of preserving the construct in future versions of the DSM while dodging the potentially troublesome gender bias in the criteria. I love this channel keep up the great work!
HPD has more genuine emotional empathy, no? BPD however is increasingly recognized as a disorder that is a form of ASPD more often diagnosed in women.
@@philosopher24680 there's a lot of controversy a out the male / female diagnosis of BPD and ASPD. Many people think that the gender balance is much closer than has previously been acknowledged and that many people have been misdiagnosed because of gender stereotypes.
I worked with someone who fits this description to a T. Wonderfully entertaining when she was in a good mood. Very old-fashioned (think of the Dowager Duchess from Downtown Abbey tv show but in a 38 yo body). Biggest snob I've ever met. Spoke with an English accent although she was Australian born. Met her father and sister and they had standard aussie accents. She was mostly cheery, but would swing to rage or grief when something frustrated her or she felt she'd been insulted. I learned to beware of her "no emotion" moments as rare as they were. She'd get this look like "I smell something bad" while she decided which of her 3 emotions she'd go to. One time a coworker calmly confronted her about some gossip she'd said behind the woman's back. It really was minor, but after the woman had left, I watched her go into full on 'rage' for about half an hour accusing the woman of SHOUTING AND BULLYING HER and she was going to sue (this, of course, was a completely over the top reaction). Then she switched mid-sentence to 'grief' (which lasted 1.5 hours). Nothing I said could calm her down. I'm talking about the level of a bad stage actor making sure the emotions were LARGE so the audience in the back row could see them. Someone heard her keening and came rushing down the corridor thinking a family member had died. It shocked me at first, then annoyed me (I missed my lunch hour trying to calm her), then amused me, but ultimately made me feel sorry for her. Her emotions dominated her completely, just luckily she was mostly in a good mood. Things similar to this event would happen 2 - 3 times a month.
I used to know someone much like that
Wow, I can relate to that bad smell face! The person I knew shows this and I thought of it as Grinch face. She loved to waste other people's time and energy sucking attention. Every interaction was a performance. I agree with the Doc. that it's by no means a harmless disorder.