All are recommended treatment for somatic system disorder except

A. Criminality. Criminal behavior is more characteristic of antisocial personality disorder (ASPD) rather than histrionic personality disorder (HPD). Individuals with ASPD display persistent disregard for social norms, often engaging in deception, aggression, and illegal activities. In contrast, those with HPD focus on gaining attention through dramatic and emotionally expressive behavior, not criminal acts.

B. Dramatic. Individuals with HPD exhibit excessive emotionality and attention-seeking behaviors, often overreacting to minor situations. Their interactions tend to be theatrical, exaggerated, and highly expressive, driven by a deep need for validation. This dramatic presentation can make their emotions seem intense but superficial, affecting personal and professional relationships.

C. Center of attention. A key feature of HPD is the constant desire to be the center of attention, leading to excessive efforts to draw focus in social settings. They may use flirtation, provocative behavior, or exaggerated stories to remain the focal point. If attention shifts away, they may become distressed or act impulsively to regain it, often without considering long-term consequences.

D. Emotionally shallow. Despite their expressive and intense emotional displays, individuals with HPD often lack emotional depth and sincerity. Their emotions can rapidly shift and may seem inconsistent or exaggerated, making it difficult to form genuine, long-lasting relationships. This superficiality often stems from their reliance on external validation rather than internal emotional awareness.

A. Clozapine (Clozaril) is a second-generation (atypical) antipsychotic with a high risk of weight gain, metabolic syndrome, and sedation due to its strong antagonism of histamine (H1) and serotonin (5-HT2C) receptors. It can also cause sexual dysfunction due to its impact on dopamine and prolactin levels.

B. Olanzapine (Zyprexa) has a significant risk of weight gain and metabolic side effects, similar to clozapine. It is known to cause hyperlipidemia, insulin resistance, and increased appetite, contributing to obesity. Sexual dysfunction can occur but is less common than with prolactin-elevating antipsychotics.

C. Haloperidol (Haldol) is a first-generation (typical) antipsychotic with a high risk of sexual dysfunction due to prolactin elevation from strong dopamine (D2) receptor blockade. While it has a lower risk of weight gain than atypical antipsychotics, it carries a high risk of extrapyramidal symptoms (EPS).

D. Aripiprazole (Abilify) is a partial dopamine agonist and has the lowest risk of weight gain among atypical antipsychotics. It also has a minimal impact on prolactin levels, reducing the risk of sexual dysfunction. Due to its unique mechanism, it is often preferred for patients concerned about metabolic side effects and sexual health.