Histrionic personality disorder
ICD-10 F60.4 is a billable code used to indicate a diagnosis of histrionic personality disorder.
Histrionic personality disorder (HPD) is characterized by a pervasive pattern of excessive emotionality and attention-seeking behavior. Individuals with HPD often exhibit a strong desire to be the center of attention, leading to behaviors that may be perceived as theatrical or overly dramatic. They may engage in provocative or seductive behaviors, and their emotions can be rapidly shifting and shallow. This disorder often manifests in interpersonal relationships, where individuals may be overly concerned with their appearance and may use their physical appearance to draw attention. HPD can lead to significant distress or impairment in social, occupational, or other important areas of functioning. The etiology of HPD is not fully understood but is believed to involve a combination of genetic, environmental, and psychological factors. Diagnosis is typically made through clinical evaluation, focusing on the individual's history and symptomatology, and must meet specific criteria outlined in the DSM-5.
Detailed patient history, symptom assessment, and treatment plans must be documented.
Initial evaluations, ongoing therapy sessions, and crisis interventions.
Consideration of comorbid conditions and their impact on treatment.
Comprehensive psychological assessments and therapy notes.
Therapeutic interventions and psychological testing.
Documentation should reflect the therapeutic relationship and progress.
Used during therapy sessions for patients diagnosed with HPD.
Session notes must detail the therapeutic process and patient engagement.
Psychiatrists and psychologists should ensure alignment between diagnosis and treatment.
Key symptoms include a pervasive pattern of excessive emotionality, attention-seeking behavior, discomfort when not the center of attention, and rapidly shifting emotions.
