| BORDERLINE PERSONALITY DISORDER |
| DSM-IV DIAGNOSTIC CRITERIA |
| 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: 1. frantic efforts to avoid real or imagined abandonment Note: do not include suicidal or self-mutilating behaviour covered in Criterion 5. 2. a pattern of unstable and intense interpersonal relationships characterised between alternating between extremes of idealization and devaluation. 3. identidy 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 behaviour covered in Criterion 5. 5. recurrent suicidal behaviour, gestures, or threates, 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 hourse and only rarely more than a few days) 7. chronic feelings of emptiness 8. in appropriate, 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" |
| ICD-10 DIAGNOSTIC CRITERIA |
| In ICD-10 BPD is classified as "Emotionally unstable personality disorder" and there are two types - impulsive and borderline. The general criteria are: 1. A marked tendenct to act unexpectedly and without consideration of the consequences. 2. A markd tendency to quarrelsome behaviour and to conflicts with others, especially when impulsive acts are thwarted or censored. 3. Liability to outbursts of anger or violence, with inability to control the resulting behavioural explosions. 4. Difficulty in maintaining any course of action that offers no immediate reward. 5. Unstable and capricious mood. For impulsive type, at least three of the above must be present including criterion 2. For borderline type at least two of the above must be present plus one of the following: 6. Disturbances in and uncertainty about self-image, aims, and internal preferences (including sexual) 7. Liability to become involved in intense and unstable relationships, often leading to emotional crises. 8. Excessive efforts to avoid abandonment. 9. Recurrent threats or acts of self-harm. 10. Chronic feelings of emptiness |
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