Borderline Personality Disorder Diagnosis:

DSM IV 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 [mood] instability.

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.


(Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association)


© 2019 by  Laurice Reed