From the Research
Psychotherapy, particularly clarification-oriented psychotherapy, is the recommended first-line treatment for histrionic personality disorder, as it has been shown to improve relationship processes and therapy outcomes in patients with this disorder 1.
Treatment Overview
The treatment of histrionic personality disorder typically involves long-term individual therapy focused on helping patients develop more adaptive coping mechanisms, improve interpersonal relationships, and gain insight into their attention-seeking behaviors.
- Group therapy can also be beneficial by providing feedback about interpersonal dynamics.
- While no medications are specifically approved for histrionic personality disorder, selective serotonin reuptake inhibitors (SSRIs) like fluoxetine (20-80 mg daily) or sertraline (50-200 mg daily) may be prescribed to manage comorbid symptoms such as depression or anxiety.
- Low-dose antipsychotics might occasionally be used for severe emotional dysregulation.
Therapy Approach
The therapeutic relationship is particularly important, as patients with this disorder often form intense but superficial relationships, including with their therapist.
- Setting clear boundaries while maintaining empathy is essential for effective treatment.
- Therapy works by helping patients recognize their maladaptive patterns, develop more authentic self-expression, and build deeper connections with others.
Treatment Duration and Frequency
Treatment is typically long-term, often lasting several years with weekly sessions initially, potentially decreasing in frequency as the patient improves.
- The most recent study on the topic, published in 2023, found that clarification-oriented psychotherapy was effective in improving therapy outcomes in patients with histrionic personality disorder 1.
- Other studies have also shown the effectiveness of psychotherapy in treating histrionic personality disorder, including cognitive analytic therapy 2 and cognitive-behavioral therapy.