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histrionic personality disorder
Clinical manifestations:
- excessive & rapidly shifting emotions
- attention seeking
- may appear overly seductive or provocative
- no inflated sense of self-importance or entitlement
- tendencies toward interpersonal conflict commonly due to beliefs that relationships are more intimate than they acutally are
- not associated with difficulty in regulating anger
- do not have the inflated sense of self-importance or entitlement
- elderly:
- behavior may become excessively disinhibited & disorganized
- may appear manic
Differential diagnosis:
- borderline personality disorder
- narcissistic personality disorder
Management:
- assess for & treat mood lability, depression, anxiety, substance abuse
- consistent, structured approach with well-defined boundaries to contain unacceptable behaviors
- team approach with a common plan (teamwork)
- behavioral contracts to address recurrent unacceptable behaviors
- resort to higher level of care if management ineffective
- do not personalize aggressive behavior directed towards staff
- allow staff opportunities to vent
General
cluster B personality disorder
References
- Geriatric Review Syllabus, 7th edition
Parada JT et al (eds)
American Geriatrics Society, 2010
- Geriatric Review Syllabus, 11th edition (GRS11)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2022