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:

  1. frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
  2. a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
  3. identity disturbance: markedly and persistently unstable self-image or sense of self
  4. 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.
  5. recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
  6. 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)
  7. chronic feelings of emptiness
  8. inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)
  9. transient, stress-related paranoid ideation or severe dissociative symptoms

    Associated Features

    • Depressed Mood
    • Addiction
    • Dramatic/Erratic/Antisocial Personality

 

Differential Diagnosis

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.

 

 

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