Ep 65: Histrionic vs Borderline Personality: Our Deep Dive
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the confusing and speckled history distinguishing histrionic and borderline personality disorders, clarifying their differences and overlaps. We delve into DSM criteria, psychodynamic, and Millon’s perspectives to untangle these often confused diagnoses.
⚠️Note: this podcast does not constitute a professional relationship. If you’re in need of professional help, please seek out appropriate resources in your area. ⚠️
Additional Podcast References
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV (4th ed.). https://doi.org/10.1176/appi.books.9780890420614.dsm-iv
- Blaney, P. H., Krueger, R. F., Millon, T. (Eds.). (2014). Oxford textbook of psychopathology (3rd ed.). Oxford University Press.
Chapters
- 00:00 Intro to Histrionic and BPD
- 00:35 Disagreement on HPD & BPD
- 01:26 Borderline as Personality Organization
- 01:57 DSM Borderline: 256 Variations
- 02:15 DSM Borderline is Histrionic at 'Borderline Level Organization'
- 02:37 Research Outlining Diagnostic Problems
- 04:07 Brief Overview: HPD and BPD in DSM
- 05:19 BPD Criteria: Instability
- 05:57 BPD Criteria: Identity Disturbance
- 06:24 Identity Disturbance in Histrionic vs Borderline
- 07:48 BPD Criteria: Impulsivity
- 08:12 BPD Criteria: Self-Harm
- 08:31 BPD Criteria: Mood Swings
- 08:48 BPD Criteria: Feelings of Emptiness
- 09:07 BPD Criteria: Anger
- 09:41 BPD Criteria: Paranoia & Dissociation
- 09:55 Dissociation in Histrionic
- 10:25 HPD Criteria: Center of Attention
- 10:48 Distinguishing Attention (HPD) vs Attachment (BPD)
- 11:13 HPD Criteria: Inappropriate, Seductive Behavior
- 11:45 Histrionic Subtypes: Inhibited & Demonstrative
- 12:23 HPD Criteria: Rapidly Shifting & Shallow Emotions
- 13:06 HPD Criteria: Using Appearance for Attention
- 13:34 HPD Criteria: Impressionistic Speech
- 14:11 HPD Criteria: Dramatizing
- 14:39 HPD Criteria: Suggestibility
- 17:01 How Do We Have 2 Overlapping DSM Diagnoses?
- 17:19 Psychodynamic’s Perspective: Borderline Organization vs Disorder
- 18:42 Hysteria as Axis I & BPD as Axis II
- 19:22 Dr. Theodore Millon’s Theory of BPD vs HPD
- 26:00 Histrionic vs Narcissistic Personality
- 27:00 Different Flavors of BPD
- 28:02 Summary and Ending