Histrionic P Disorder: Madu
Response to diagnostic criteria
Madu points out the general diagnostic features among individuals with Personality Disorders, PDs. Madu notes that individuals with PDs exhibit rigid and unhealthful patterns impacting how they think, function, and behave (Sadock & Ruiz, 2014). Such individuals also have trouble in distinguishing and relating to people and situations, leading to considerable problems concerning relationships. Madu further noted that like other cluster B personality disorders, HPD is characterized by difficulties with emotion regulation, impulsivity, and interpersonal conflicts, and those are common as well in Borderline Personality Disorder, BPD (Sadock & Ruiz, 2014). However, there are diagnostic features portrayed by BPD patients but will never be exhibited among HPD patients, and they include anger, emptiness feelings, and suicidal behavior. On the other hand, there are diagnostic features shared with HPD patients but may not be portrayed among the BPD, and they include suggestive and imprecise speech and improper sexually seductive and provoking behavior.
Response to treatment interventions
Evidence recommends that anticonvulsant agents and antipsychotics are the best in treating BPD because of their steady benefits on impulsivity, which is the same case with HPD. Anticonvulsant and antipsychotics aid in lessening alcohol craving and drinking in BPD clients with comorbid alcoholism (Wheeler, 2014). Antidepressants on BPD symptoms are more uncertain. Contrary to the HPD clients, BPD clients have indicated that antidepressant medication may nonetheless be useful in treating anxiety disorders and comorbid mood, and they might be more effective in treating male BPD clients with protuberant impulsive violence. There are no prescriptions agreed upon for the management of BPD entirely and targeted, transient use of medication for particular symptom domains is recommended (Wheeler, 2014). By depending on the best existing evidence, clinicians can help BPD clients in lessening devastating symptoms.
On the other hand, Dialectical Behavioral Therapy, DBT is the most recommendable psychotherapy treatment for BPD just as for HPD. It integrates the notion of dialectics and the approach of authentication into a cure concentrated on behavioral modeling and attainment of skills. DBT articulates the problems of BPD as a consequence of the transaction between persons born with extraordinary emotional sensitivity and invalidating environments that cannot understand, perceive, and respond efficiently to their susceptibilities (Wheeler, 2014). Like in clients with HPD, clients with BPD can be more effective in handling their sensitivities and interactions with the rest via the attainment of skills that improve mindfulness and to allow them to endure distress better, regulate their emotions, and manage interactions (Wheeler, 2014). However, the difference between the two is that HPD lacks empirical research and is considered ‘flat’ in literature growth.
Response to Clinical features from the client
Madu noted that individuals with HPD usually present themselves as dramatic emotional or erratic, and the symptoms were presented with their client. Their client appeared dressed in a colorful, elaborate, and outfit that was inappropriate for the weather. The client was also loud and eager to give information regarding her clinical presentation, used exaggerated and colorful language, and exhibited suicidal behaviors for attention. Madu points out that the client’s symptoms corresponded to DSM-5, which illustrates that HPD patients must fulfill specific symptom criteria for diagnosis. This includes discomforts when an individual is not given attention, improper sexually seductive or provoking behavior, and quickly varying shallow emotions. The individuals use the physical appearance and an extremely imprecise speech to draw attention as well as an exaggerated expression of emotions. Individuals are as well theatrical, suggestible, and tend to take relationships to be intimate even though they are not (“American Psychiatric Association,” 2013).
However, DSM-5 denotes that an individual with BPD tries to make anxious efforts to evade abandonment. They have unsteady relationship sequences, individuality disturbance, impulsivity, and suicidal thoughts. Besides, individuals exhibit emotional instability, emptiness feeling, unvarying anger, and mistrustful ideation or dissociative symptoms (“American Psychiatric Association,” 2013). Therefore, it is evident that both BPD and HPD patients may exhibit rapidly varying emotions, impulsivity, sturdy affecting expression, attention-seeking behavior, and manipulative characteristics.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.