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No body of treatment research exists for histrionic personality disorder (HPD). Although two meta-analyses of psychotherapeutic treatments for personality disorders (Leichsenring and Leibing 2003; Perry et al. 1999) suggest that these conditions respond to both psychodynamic therapy and cognitive-behavioral therapy, none of the included studies focused specifically on HPD. Most of the literature on this diagnostic entity has been written from a psychodynamic/psychoanalytic point of view. Recently, contributions from cognitive therapy have appeared. Both approaches are summarized in this chapter, and the discerning reader will note considerable overlap between the two therapeutic strategies. The lack of rigorously designed treatment trials on HPD requires therapists to rely on accumulated clinical wisdom regarding the treatment of these patients. No medications have been systematically studied, and clinicians do not think about medications as particularly useful for this group of patients. Hence, psychotherapy must be considered the cornerstone of treatment.
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