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JAMA Pediatr (2014) 168(8):7218

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Diagnostic Criteria for HPD According to the DSM-5, histrionic personality disorder is diagnosed when at least five of the following criteria are present: Discomfort in situations where the person is not the center of attention Interactions with others are often characterized by inappropriate, sexually seductive, or provocative behavior Rapidly changing and superficial expressions of emotion Constant use of appearance to attract attention Speech is overly impressionistic and lacking in detail Demonstrative, theatrical, and exaggerated expression of emotion Suggestibility, easily influenced by other people or circumstances Perceiving relationships as more intimate than they really are Impacts of Attention-Seeking Behavior Attention-seeking behavior can seriously affect personal relationships: Create emotional strain on partners and significant others Cause feelings of manipulation and exhaustion in others Lead to shallow and unstable relationships Create cycles of crisis and dramatic reconciliation

The amount of free cyanide released during cyanocobalamin metabolism is far below any toxicologically significant level