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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 of 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 behaviors, 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 Read what Dr. Irene has to say about Borderline Personalities BPD links here. 1The Diagnostic and Statistic Manual of Mental Disorders, Fourth Edition (DSM-IV). American Psychiatric Association, 1994. |