BPD411 - Diagnostic Criteria

Diagnostic Criteria for Borderline Personality Disorder

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

Provided by the

Diagnostic and Statistical Manual of Mental Disorders DSM-IV

If you would like more information on these traits, see the Annotated version.

BPD411 Home - Services - Resources - Partners - Contact Us - Mailing List

Disclaimer: The information on this site (http://www.bpd411.org) is based on personal experiences of the authors and members of our e-mail mailing list. It is NOT meant to replace professional advice or take the place of counseling, therapy or additional personal research.