These patients have higher rates of depression, somatization and conversion. Differential Diagnosis Borderline Personality Disorder Patients with Borderline Personality can also be sensation-seeking, impulsive, superficially charming and manipulative. Histrionic patients lack identity disturbance, transient psychosis and dissociation seen in Borderline patients. Some patients meet criteria for both diagnoses. Histronic Personality Disorder Antisocial patients are also sensation-seeking, impulsive, superficially charming and manipulative.
Histrionic patients are dramatic and theatrical but typically lack histories of antisocial behavior.
Narcissistic Personality Disorder Narcissists also seek constant attention, but it must be positive in order to confirm grandiosity and superiority. Histrionics are less selective and will appear weak and dependent to get attention. Treatment Insight-oriented psychotherapy is the treatment of choice. Keeping them in therapy can be challenging since these patients dislike routine.