In adults diagnosed with Histrionic Personality Disorder receiving outpatient psychiatric care, how does Cognitive Behavioral Therapy, compared to Psychodynamic Psychotherapy affect emotional regulation?
In adults diagnosed with Histrionic Personality Disorder receiving outpatient psychiatric care, how does Cognitive Behavioral Therapy, compared to Psychodynamic Psychotherapy affect emotional regulation?
Histrionic Personality Disorder (HPD) is characterized by a pervasive pattern of excessive emotionality and attention-seeking behavior, often involving rapidly shifting and shallow emotions. Consequently, emotional dysregulation is a central feature. Both Cognitive Behavioral Therapy (CBT) and Psychodynamic Psychotherapy are common therapeutic approaches for personality disorders, and each impacts emotional regulation through different mechanisms.
CBT for HPD primarily focuses on identifying and modifying the dysfunctional thought patterns and maladaptive behaviors that contribute to emotional dysregulation.
Mechanism of Action: CBT operates on the principle that thoughts, feelings, and behaviors are interconnected. In HPD, exaggerated emotional displays and attention-seeking are often driven by underlying dysfunctional core beliefs (e.g., "I am worthless unless I am the center of attention," "My emotions must be intense to be real"). CBT helps patients:
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