Borderline Personality Disorder
American Description: Diagnostic Criteria
A pervasive pattern of instability of interpersonal relationships, self-image,
and affects, and marked impulsivity beginning by early adulthood and present
in a variety of contexts, as indicated by five (or more) of the following:
- frantic efforts to avoid real or imagined abandonment. Note: Do not
include suicidal or self-mutilating behavior covered in Criterion 5.
- a pattern of unstable and intense interpersonal relationships characterized
by alternating between extremes of idealization and devaluation
- identity disturbance: markedly and persistently unstable self-image
or sense of self
- impulsivity in at least two areas that are potentially self-damaging
(e.g., spending, sex, substance abuse, reckless driving, binge eating).
Note: Do not include suicidal or self-mutilating behavior covered
in Criterion 5.
- recurrent suicidal behavior, gestures, or threats, or self-mutilating
- affective instability due to a marked reactivity of mood (e.g., intense
episodic dysphoria, irritability, or anxiety usually lasting a few hours
and only rarely more than a few days)
- chronic feelings of emptiness
- inappropriate, intense anger or difficulty controlling anger (e.g.,
frequent displays of temper, constant anger, recurrent physical fights)
- transient, stress-related paranoid ideation or severe dissociative
- Depressed Mood
- Dramatic/Erratic/Antisocial Personality
Mood Disorders; Histrionic Personality Disorder; Schizotypal Personality
Disorder; Paranoid Personality Disorder; Narcissistic Personality
Disorder; Antisocial Personality Disorder; Dependent Personality Disorder;
Personality Change Due to a General Medical Condition; symptoms that
may develop in association with chronic substance use; Identity Problem.