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DSM-5 criiteria for Borderline Personality diaorder
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Borderline Personality Disorder (BPD) is characterized by a pervasive pattern of instability in interpersonal relationships, self-image, and affects, as well as marked impulsivity. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the criteria for BPD are as follows:
**A.** A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, beginning in 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).
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 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.**
**B.** The enduring pattern is not better accounted for as a manifestation of another mental disorder (e.g., posttraumatic stress disorder, which may involve fear of abandonment).
**C.** The enduring pattern is not attributable to the physiological effects of a substance (e.g., drug abuse, medication) or another medical condition (e.g., head trauma).
The diagnosis of BPD is typically made by a qualified mental health professional after a thorough assessment. It's important to note that individuals with BPD can exhibit a wide range of symptoms, and not all individuals will present the same way.
**A.** A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, beginning in 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).
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 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.**
**B.** The enduring pattern is not better accounted for as a manifestation of another mental disorder (e.g., posttraumatic stress disorder, which may involve fear of abandonment).
**C.** The enduring pattern is not attributable to the physiological effects of a substance (e.g., drug abuse, medication) or another medical condition (e.g., head trauma).
The diagnosis of BPD is typically made by a qualified mental health professional after a thorough assessment. It's important to note that individuals with BPD can exhibit a wide range of symptoms, and not all individuals will present the same way.