Histrionic vs Narcissistic Personality Disorder

Histrionic personality disorder (HPD) and narcissistic personality disorder (NPD) are both mental health conditions characterized as personality disorders. These disorders involve ongoing or repeated thoughts, behaviors, perceptions, and feelings that are not consistent with societal norms and that interfere with long-term functioning.

Personality disorders are further classified into one of three groups, including cluster A, cluster B, and cluster C. Histrionic personality disorder and narcissistic personality disorder are both cluster B personality disorders, and while there are similarities between these two conditions, there are some key differences.

Learn more about what makes them different, why these differences are important, treatment options, and more.

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Differentiating Traits

Since HPD and NPD are both cluster B personality disorders, they are similar. However, there are differences. These differences are important because they impact:

  • How people with each condition think and behave
  • How their relationships are affected
  • The risks of other challenges
  • The effectiveness of different treatment options
Traits of HPD
  • Seek attention, regardless of type

  • Willing to be viewed as fragile or dependent to get attention

  • Display rapidly shifting and shallow expression of emotions

  • Use sexuality to gain attention

  • More common in women

Traits of NPD
  • Expect admiration and positive feedback

  • Inflated sense of self

  • Dismissive of others, struggle with empathy

  • Less emotionally expressive

  • Use sex for personal gain

  • More common in men

While people with narcissistic personality disorder and histrionic personality disorder both like to be the center of attention, they differ in the type of attention they require.

  • People with narcissistic personality disorder have a need to be admired and get positive attention that is in line with their inflated sense of self-worth. They struggle with lack of attention or negative attention.
  • People with histrionic personality disorder, on the other hand, seek attention in general, regardless of the type of attention.

The primary difference is that people with NPD have an inflated sense of self and think others should admire or validate them, while people with HPD yearn to be the center of attention.

Additionally, people with histrionic personality disorder, compared to people with narcissistic personality disorder, are more likely to develop dependent relationships. They are also less dismissive of others. This may relate to empathy, as people with HPD are generally more capable of feeling empathy and can be sensitive to others. People with NPD, in contrast, are often limited in their capacities to feel emotional empathy and their ability to process cognitive empathy is dysfunctional.

HPD and NPD Together

It is possible for the same person to experience both histrionic personality disorder and narcissistic personality disorder at the same time. This is called comorbid personality disorders.

People with narcissistic personality disorders often struggle with other conditions as well. More specifically, additional personality disorders are often seen with NPD, and HPD is one of the most common personality disorders to be comorbid with NPD.

Both conditions may also occur with other mental health conditions, such as depression.

Histrionic vs Narcissistic: Treatment and Outlook

Personality disorders are treatable, but they are not all treated in the same ways. Even though NPD and NPD are both cluster B personality disorders and are similar, different treatment options tend to be more effective for each. More specifically, they can both be treated with psychotherapy (talk therapy) provided by a mental health professional such as a psychologist or psychiatrist. However, the specific psychotherapeutic interventions may be different for each condition.

Additionally, medications are sometimes used to treat certain symptoms that are often associated with personality disorders such as depression, but there are no medications currently available to specifically treat personality disorders.

Treatment for NPD

Narcissistic personality disorder is treated with psychotherapy. Certain approaches to psychotherapy including mentalization-based therapy, transference-focused psychotherapy, self-psychology, and schema-focused psychotherapy have been applied for this condition. The treatment can be provided by a mental health professional such as a psychologist or psychiatrist.

Treatment for HPD

Histrionic personality disorder is also treated with psychotherapy. Supportive psychotherapy and psychodynamic psychotherapy approaches are the types of talk therapy used for this condition. Group therapy and family therapy may be used, but may sometimes be problematic around the patient's attention-seeking behaviors. The treatment can be provided by a mental health professional such as a psychologist or psychiatrist.

Mental Health Helpline

If you or a loved one are struggling with narcissistic personality disorder or histrionic personality disorder, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area.

For more mental health resources, see our National Helpline Database.


Histrionic personality disorder and narcissistic personality disorders are two different mental health conditions that are both classified as cluster B personality disorders.

While they have many similarities, such as a desire to be the center of attention and relationship challenges, there are some traits that set them apart. People with NPD expect admiration because they have an inflated sense of self-worth, while people with HPD crave general attention to avoid feelings of discomfort.

These two conditions can occur together. They are both treated with talk therapy, but different approaches may be emphasized.

A Word From Verywell

Personality disorders can be challenging both for the people with the personality disorders and those close to them. If you or someone you know is experiencing symptoms of a personality disorder such as NPD or HPD, you are not alone. Help is available. Both of these conditions, along with other personality disorders, are treatable. Reach out to a healthcare professional such as a primary care provider or psychologist for support.

Frequently Asked Questions

  • Can someone be histrionic and narcissistic?

    It is possible to have traits of both histrionic personality disorder and narcissistic personality disorder. The two conditions can occur at the same time in the same person, which is called comorbid.

  • Are histrionics attracted to narcissists?

    People with personality disorders can tend to be attracted to one another. People with histrionic personality disorder can be attracted to people with narcissistic personality disorder and vice versa. People with one personality disorder are more likely to be attracted to someone with a different personality disorder than their own.

  • What is the primary difference between narcissism and histrionics?

    The primary difference between people with narcissistic personality disorder and those with histrionic personality disorder is that people with NPD have an inflated sense of self and expect others to have the same view of them, while people with HPD wants the approval and attention of others without necessarily believing they are deserving of it.

6 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. American Psychological Association. Personality disorder (PD).

  2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, fifth edition. Arlington, VA: American Psychiatric Association; 2013.

  3. Caligor E, Levy KN, Yeomans FE. Narcissistic personality disorder: diagnostic and clinical challengesAJP. 2015;172(5):415-422. doi:10.1176/appi.ajp.2014.14060723

  4. Baskin-Sommers A, Krusemark E, Ronningstam E. Empathy in narcissistic personality disorder: from clinical and empirical perspectivesPersonal Disord. 2014;5(3):323-333. doi:10.1037/per0000061

  5. American Psychiatric Association. What are personality disorders?.

  6. StatPearls. Histrionic personality disorder.

By Ashley Olivine, Ph.D., MPH
Dr. Ashley Olivine is a health psychologist and public health professional with over a decade of experience serving clients in the clinical setting and private practice. She has also researched a wide variety psychology and public health topics such as the management of health risk factors, chronic illness, maternal and child wellbeing, and child development.