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
(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
1The Diagnostic and
Statistic Manual of Mental Disorders, Fourth Edition (DSM-IV). American
Psychiatric Association, 1994.