Borderline Personality Disorder.

The Criteria for a Diagnosis


BPD is a pervasive pattern of instability in interpersonal relationships, self-image, and emotion, as well as 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


A pattern of unstable and intense interpersonal relationships characterized by extremes between idealization and devaluation (also known as "splitting")


Identity disturbance: Markedly or persistently unstable self-image or sense of self


Impulsive behavior in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating)


Recurrent suicidal behavior, gestures, or threats, or self-harming behavior


Emotional instability in reaction to day-to-day events (e.g., intense episodic sadness, 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 symptoms

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