Causes of Hysterical Personality Disorder
Disorder, associated with the education of the “idol of the family” type or as a result of cultivating demonstrative traits in families in which parents try to realize their own claims for leadership in children. More common in women.
Symptoms of Hysterical Personality Disorder
Since childhood, there is a desire to be in the center of attention of children and adults, the thirst for praise and evaluation. The refusal of adults to fulfill desires in a child meets a protest reaction with a demonstration of a fall, rolling of eyes, intermittent breathing. Character is marked by demonstrativeness, theatricality, extraverted behavior in excitable, emotional personalities. Patients are not able to maintain deep long-term affection. Characterized by frequent demonstrations of bouts of irritability, tears and accusations, if the person is not the center of attention or does not receive praise or approval. The suggestibility and orientation to authorities are enhanced, the influence of surrounding circumstances or circumstances is easily formed. Excessive physical preoccupation and constant manipulative behavior to meet their needs are typical. Facial expression is characterized by excessive vividness, paramimia are possible, an expansive gesture. Bright colors and extravagance prevail in clothes and cosmetics. The pursuit of occupations that satisfy the need for demonstration. High susceptibility to dissociative disorders, including motor and disorders of consciousness, as well as the use of alcohol and other psychoactive drugs. Many mental phenomena in hysterical individuals resemble paroxysmal, therefore they are close to the epileptic circle.
Diagnosis of Hysterical Personality Disorder
It should be distinguished from organic dissociative disorders characteristic of some endocrine diseases, in particular, thyrotoxicosis and organic disorders as a result of head injuries. These disorders are characterized, in addition to hysterical characteristics, by dysmnesic, dysphoric and asthenic states, as well as by typical data of additional methods of research (neurology, EEG, CT).
Treatment for Hysterical Personality Disorder
Psychoanalysis, focused on clarifying the internal sensations of the patient, pharmacotherapy. Therapy with antiparoxysmal agents, in particular diphenin and carbamazepine.