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Respond to acolleagues in the following ways:
Explain whether you agree with your colleague about the potential effects of labeling an individual with a personality disorder.
Explain how to engage in trauma-informed treatment with this client given the effects of trauma identified by your colleague.

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DSM-5 ICD-10 Diagnosis

F60.4- Histrionic personality disorder (HPD)

Based on DSM-5 Isabella fulfills the following criteria of histrionic personality disorder:

1. She has spats with her siblings when they seem to ignore her.

2. Her mood was fixed and congruent with facial expression with self-dramatizations. She was meticulously groomed, trying to make an impression. She expresses her concern about issues involved with her being sexiest and attractiveness.

3. Thought process was also shallow and lacks detail.

4. She dressed very seductively in the interview. She often tried to draw attention to herself in extreme ways

5. Her speech was guarded as if she was hiding something.

6. She would go back and forth and become teary eyed then would immediately stop. Her thoughts would jump from time to time and are seemingly dramatic.

7. Her social and personal judgment responses are inappropriate sometimes.

8. She considers relationships to be more intimate than they are. However, she is also flirtatious.

Aside from this, she demands attention, approval, and reassurance. She enjoys being the center of attention, moreover, center of jealousy. She makes it difficult for Tomaz to achieve emotional intimacy in their romantic relationships and cause rifts with friends due to their provocative nature. Like other personality disorders, patient with histrionic personality disorder often have comordities. For HPD, aside from oftentimes being alcohol dependent, they usually present with somatization disorder. They usually complain of somatic symptoms like, for Isabella, pain resulting from emotional distress and problems in functioning.

One differential diagnosis to be considered is the narcissistic personality disorder since she wants admiration and being center of attention. She often feels some envy her. However, these were the only symptoms, not enough to categorize her under narcissistic disorder.

Another differential diagnosis is a somatoform disorder, especially pain disorder since she experiences pain that medical investigation cannot determine. However, the physical pain she has could have been caused by a mental health problem that causes the psychopathological problems.

Another differential diagnosis is borderline personality disorder (BPD) also characterized by quick shifts in emotions, attention-seeking, and manipulative behavior. But it is also distinguished by self-destructiveness and identity disturbance, which differs from what Isabella had.

A patient with personality disorder can affect their access to health services. For instance, according to Ferguson (2015), found that people with BPD will have multiple comorbidities like substance abuse, eating disorders, depression and anxiety, and other psychosomatic disorders. She also emphasized that due to stigma around, people with personality disorder are likely to be misunderstood, blamed for the situations they are in, and eventually isolate with their problems.

Moreover, people with personality disorder exhibit prolonged, pervasive problems getting along with people in all kinds of different contexts which result to them not seeking treatment (Dingfelder, 2004). Hence, the personality disorder of the patient can help guide the approach taken.

Personality disorder has predispositions from childhood abuse to broader socio-political backgrounds such as poverty or being in a privileged status. Say for instance, having HPD usually appears in people who are always center of attention, like the celebrities. They bask in their ‘star’ status (Bennet, 2017). The political power could also manifest a person to have pervasive grandiosity and too much sense of self, being preoccupied with fantasies of success or brilliance or beauty (Sadock et al., 2017).

It is important that trauma history should be realized in tailoring a treatment for patients with personality disorder. Personality disorders usually have comorbidities that sometimes could actually be a response to underlying trauma. Hence, treating somatic pathologies would not be helpful enough unless underlying trauma is also addressed (Ferguson, 2015). Say for instance, from Isabella’s bereavement from her mother’s death, has resulted to her stressing out and furthering her seeking attention and manifestations of somatoform pain disorder.


Bennet, T. (2017, August 10). Histrionic personality disorder DSM-5 301.50 (F60.4). Counseling and Life Coaching – Find a Counselor.

Dingfelder, S. F. (2004, March). Personality disorders–Treatme

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