Histrionic Personality Disorder (HPD)

1) What it is

Histrionic Personality Disorder (HPD) is a personality disorder involving patterns of:

• intense emotional expression
• strong need for approval/attention
• discomfort when not noticed
• relationships that can feel intense but unstable

Some services discuss HPD less commonly than other personality disorders, but support focuses on emotional regulation, relationships, and self-worth.

2) What it feels like

“I feel invisible unless someone notices me.”

“I need reassurance constantly.”

“Rejection feels unbearable.”

“My emotions feel intense and dramatic.”

3) Common signs & symptoms

• attention-seeking patterns
• rapidly shifting emotions
• strong sensitivity to rejection
• relationships may feel intense and short-lived
• people-pleasing mixed with conflict
• impulsivity (sometimes)

4) Causes / risk factors

• attachment insecurity
• childhood emotional needs not met consistently
• trauma
• learned ways of getting safety through attention
• emotional sensitivity

5) Triggers

• feeling ignored
• rejection
• boredom/emptiness
• criticism
• relationship insecurity

6) What helps right now

• grounding and breathing
• pause before reacting
• use calm communication scripts
• contact one safe person
• reduce alcohol/drug use if it fuels impulsivity

7) Longer-term strategies

• therapy focusing on identity and emotional needs
• build self-worth internally rather than externally
• relationship skills and boundaries
• reduce impulsive coping

8) Treatment options

Longer-term psychotherapy is often helpful for personality difficulties.
NHS has general information on personality disorder treatments.

9) Medication overview

No medication treats HPD itself, but may treat anxiety/depression if present.

10) Daily life tips

• practise self-validation daily
• reduce social media comparison
• choose stable supportive friendships
• learn repair skills after conflict

11) When to seek urgent help

Urgent help if:

• suicidal thoughts
• self-harm risk
• severe instability or unsafe behaviour

12) Trusted help & resources

• NHS: Personality disorders overview
• Mind: Personality disorder support
• Samaritans 116 123 / Shout 85258

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