Living With Histrionic Personality Disorder – Disproportionate Emotional Reactions

I was 27 years old when I entered into the realization that there was something wrong with me and one of the original diagnosis was Borderline Personality Disorder, BPD. 

I say something wrong with me because I was just not able to manage my life on my own and somehow knew there was something wrong with my mind.

Back then, not a lot was known about this horribly stigmatized disorder because BPD patients were considered impossible to treat or wrongly diagnosed with Bipolar Disorder. 

Along with BPD, Post Traumatic Stress Disorder (PTSD), Attention Deficit Hyperactive Disorder (ADHD) and Dissociative Disorder Not Otherwise Specified (DDNOS) were also added to my diagnostic mix.

ADHD was quickly debunked and over the past two decades most professionals leaned towards my having PTSD or a Dissociative Disorder – but something about these disorders never seemed to fit.

Add menopause to the mix and the confusion became even more confusing.


Here are past blogs I’ve written about my struggles with anxiety and what felt like PTSD or DDNOS:


My Struggles With Alcoholism

2018

2019

2020

2021

2023

2024

2025


On February 9th, 2022, I had a thorough psychological assessment by a seasoned psychiatrist. At long last, at 52 years old, I was finally properly diagnosed with Borderline Personality Disorder and Histrionic Personality Disorder.

This blog series called Owning and Unraveling Borderline Personality Disorder & Histrionic Personality Disorder is my way of processing and understanding these complex personality disorders and how they manifest, interfere with and enhance my life.

Perhaps, as it has been said to me from friends who have family members with Borderline Personality Disorder, I can help dispel misconceptions and stigmas associated with these mental illnesses.

And hopefully I can shed some light and more personal information on what living with Histrionic Personality Disorder is like as I review each symptom and diagnostic criteria and how they show up (past or present) in my life.

With hope,

Stephanie, 🩵🌻


March 19th, 2025 - Fall River, Nova Scotia - Joyful Stephanie
March 19th, 2025 – Fall River, Nova Scotia – Joyful Stephanie

According to Theravive :

DSM-5 Category: Personality Disorder

Diagnosis Criteria For: Histrionic Personality Disorder Symptoms:

Symptoms of Histrionic Personality Disorder include the following: 

  • Shallow, changeable emotions
  • Assumed intimacy with others
  • Hypersensitivity to criticism 
  • Manipulative behavior
  • Disproportionate emotional reactions
  • Sexually provocative behavior
  • A compulsive desire for attention
  • Preoccupation with appearance
  • Suggestible and easily influenced

Diagnosis Criteria For: Histrionic Personality Disorder:

In order to make a diagnosis of histrionic personality disorder, a psychological examination is necessary, along with a general evaluation of the patient’s behavior and overall appearance. 

There is no set test to determine whether someone has histrionic personality disorder. Previously, a number of pointers were specified in an earlier edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders in order to help clinicians make a diagnosis3).

At least five of the following traits needed to be recorded for a diagnosis to be indicated:

  • A compulsion to be the center of attention that results in discomfort if unmet
  • Inappropriate sexual, seductive or provocative behavior when interacting with others
  • Shallow, rapidly shifting emotions
  • The use of physical appearance to draw others’ attention
  • Dramatic, impressionistic speech that lacks detail
  • Exaggerated, theatrical emotional expression 
  • Easily influenced by others or situations
  • Assumes relationships are more intimate than they are

Disproportionate Emotional Reactions

This HPD symptom is more challenging to unpack as a result of BPD’s strong emotional responses.

Both seem to be similar in that disproportionate emotional responses were cultivated in early childhood as attention seeking behaviours – somebody please notice me and my feelings.

However, if I dig a little deeper – HPD’s disproportionate emotional responses are theatrical, dramaticsurface level – an overreaction that can silence a room, but then leave others scratching their head in confusion as that dramatic, emotional overreaction rapidly shifts, and disappears.

BPD’s disproportionate emotional responses flood and highjack my nervous system with powerful feelings of fear or rage. These disproportionate emotional responses can take hours, even days to fully recover from. There is absolutely nothing shallow about them. These emotions permeate my entire body.

So, in my experience and after this reflection on it, HPD and BPD’s disproportionate emotional responses are very different.

I am more aware of manifesting BPD’s disproportionate emotional responses, because of its intensity.

I imagine HPD’s disproportionate emotional responses occurred more in my teens, early twenties, as a result of my inability to understand my emotions, let alone express them.

In hindsight, I believe I slowly transitioned from HPD’s disproportionate emotional responses to BPD’s disproportionate emotional responses as a result of finally starting to express emotions.

Basically, the more freedom I felt to understand and express authentic emotions, the more I moved away from shallow ones.

Makes sense to me.

S, 🌻

HPD's Disproportionate Emotional Responses
HPD’s Disproportionate Emotional Responses


Forget Everything I’ve Said – I’ve Borderline Personality Disorder & Histrionic Personality Disorder

Living With Borderline Personality Disorder – Introduction to Symptoms & Causes

Living With Borderline Personality Disorder & Histrionic Personality Disorder – Rambling Through Confusion Towards Clarity

Living With Borderline Personality Disorder – Bits On Biosocial Theory & Learning To Ride Out Intense Emotions Rather Than Focusing On Why I Am Having Them

Living With Borderline Personality Disorder – Strong Opinions & Identity Crisis

Living With Borderline Personality Disorder – Not PTSD – It’s Emotions – Borderline Style

Living With Borderline Personality Disorder – Empathic Abilities & Intentional Interventions

Living With Borderline Personality Disorder – Overlapping Symptoms & What Type Of & How BPD Am I?

Living With Borderline Personality Disorder – DBT’s Mindful Breathing & Participating With Awareness – Grounding Words

Living With Borderline Personality Disorder & Histrionic Personality Disorder – The Stigma & Social Pariah Of Personality Disorders

Living With Borderline Personality Disorder – Is This Effective & Willing Hands Half Smile & The Middle Path

Living With Borderline Personality Disorder – Starting EMDR – Creating New Pathways To Calm

Living With Borderline Personality Disorder – The Pros and Cons of Medical THC & CBD

Living With Borderline Personality Disorder & HistrionicPersonality Disorder – Amber Heard VS Johnny Depp

Living With Borderline Personality Disorder – Gratitude For A Wild & Crazy Life

Living With Borderline Personality Disorder – Anxious – Ambivalent (Preoccupied) Attachment Style & Fear of Abandonment

Living With Borderline Personality Disorder – Behind My Mona Lisa Smile – What BPD Feels Like For Me

Living With Borderline Personality Disorder – The Hulk Uses Dialectical Behaviour Therapy

Living With Borderline Personality Disorder – DBT Skills Need Time & Everyday Practice To Become A Part Of Me

Living With Borderline Personality Disorder – Coping With The Inner Critic

Living With Borderline Personality Disorder – Unstable & Fragile Identities

Living With Borderline Personality Disorder – Highlights Of DBT’s Mindfulness & Distress Tolerance Skills

Living With Borderline Personality Disorder – Highlights Of DBT’s Emotional Regulation Skills

Living With Borderline Personality Disorder – My Ability To Self-Validate Grows When I Live In Alignment With My Values

Living With Borderline Personality Disorder – Highlights Of DBT’s Interpersonal Effectiveness Skills

Living With Borderline Personally Disorder – DBT – Skills Thermometer – A DBT Skills Anchor Chart


Living With Histrionic Personality Disorder – Introduction & Symptoms & Diagnostic Criteria

Living With Histrionic Personality Disorder – Shallow, Changeable Emotions

Living With Histrionic Personality Disorder – Assumed Intimacy With Others

Living With Histrionic Personality Disorder – Hypersensitivity To Criticism 

Living With Histrionic Personality Disorder – Manipulative Behaviour

Living With Histrionic Personality Disorder – Sexually Provocative Behaviour

Living With Histrionic Personality Disorder – A Compulsive Desire For Attention

Living With Histrionic Personality Disorder – Preoccupation With Appearance

Living With Histrionic Personality Disorder – Suggestible & Easily Influenced



© Stephanie Wells – Joyful Stephanie – Living an Authentic Life – 2014-2026. Unauthorized use and/or duplication of this material without express and written permission from this site’s author and/or owner is strictly prohibited.


4 Comments Add yours

  1. I’m glad you finally got a correct diagnoses of each disorder.

    1. Thank you Valerie. It helped so much to understanding myself and how to be skillful instead of maladaptive. 🌻💛☀️

  2. Eryn Dunbar says:

    I can’t thank you enough for sharing your diagnoses and the background information on them, with us. I’m proud of you.. as weird as that might sound. You are not sitting idly by and letting them control your life. You are in charge! I look forward to reading more from you. Again, thank you for sharing your journey. Eryn

    1. Thank you Eryn. I appreciate your support, very much. It’s very difficult to dive into my diagnoses, especially Histrionic Personality Disorder’s symptoms of the need to be the centre of attention and sexually provocative behaviours. That said, the more I own my diagnoses, the more I know myself, understand myself and accept myself. Perhaps, even de-stigmatize the profoundly misunderstood personality disorders the DSM-5 has alongside with Narcissistic and Anti-Social Personality Disorders. ~ Stephanie 🌻💛☀️

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