• Isabella Romero

Personality Disorders, Cluster B, Histrionic, Narcissistic

Hey guys, welcome back to another episode of The Bella Edit! Today I wanted to talk about Narcissistic and Histrionic Disorders. Both Narcissistic and Histrionic Personality Disorders are under Cluster B of Personality Disorders. Let’s remind ourselves what is Cluster B.

In Cluster B, there are four main personality disorders: antisocial, borderline, histrionic, and narcissistic. In all of these disorders, dramatic, emotional, or erratic behavior is accompanied by severe difficulty sustaining interpersonal relationships. For Cluster B, in this podcast, we have talked about antisocial and borderline personality disorders, what they mean and their criteria to be diagnosed as one. Now we are going to finish with Cluster B by talking about the last two, which are histrionic and narcissistic personality disorders.

Let’s start with a histrionic personality disorder. This disorder is known for having a pervasive pattern of excessive emotional and attention-seeking behavior. People that suffer from this disorder thrive on being the center of attention all the time. They want the spotlight every single minute of every single day and they cannot fathom not being in the spotlight for even a minute. Their self-centeredness, vainness, and desire for approval make them self-centered, vain and demanding.

So far, does this sound familiar to anyone you know? When interacting with other people, is their behavior often inappropriately sexually seductive or provocative? Their emotions tend to be shallow and may fluctuate erratically. Frequently, they exaggerate their reactions to situations.

Hearing all of this you may think that these symptoms, you have heard them in other disorders as well. This is not wrong. The idea of histrionic personality disorder overlaps a lot with other types of personality disorders, more so with borderline personality disorder. People with both disorders, borderline and histrionic are intensely emotional and manipulative. Unlike people with just borderline personality disorder, however, people with histrionic personality disorder have an essentially intact sense of their own identity and a better capacity for stable relationships with other people.

The essential feature of a narcissistic personality disorder is a pervasive pattern of grandiosity. The need for admiration, and an inability to empathize with other people. People who follow the criteria for this disorder have a greatly exaggerated sense of their own importance. They are preoccupied with their own achievements and abilities. Because they consider themselves to be very special, they cannot empathize with the feelings of other people and are often seen as arrogant or haughty.

Now, there is a lot of overlap between narcissistic and borderline personality disorder. Both types of people feel that others should recognize their needs and do special favors for them. If they are criticized, they may also react with anger. Does that sound familiar to any of you? Because to me, I am thinking of a few people that have shown these signs and for years have no longer been part of my family because that type of energy is just not welcomed around my house.

This is important, the distinction between narcissistic and borderline hinges on the inflated sense of self-importance that is found in narcissistic personality and the deflated or devalued sense of self found in borderline personality disorder.

Thank you so much for reading, hopefully, you have learned something new.

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