The Human Mind
Personality Disorders
Borderline Personality Disorder
Borderline Personality Disorder is 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:
- frantic efforts to avoid real or imagined abandonment;
- a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation;
- identity disturbance: markedly and persistently unstable self-image or sense of self;
- impulsivity 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-mutilating behavior;
- 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);
- 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.
Source: The Diagnostic and Statistical Manual of Mental Disorders (DSM)
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