Thursday, October 8, 2015

Psych Central: Borderline Personality Disorder

Borderline Personality Disorder (BPD) is also known as Emotionally Unstable Personality Disorder (EUPD) and Impulsive Emotional Intensity Disorder (IEID). It is a Cluster B personality disorder in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V).

According to the National Instituter for Mental Health, "Borderline personality disorder is a serious mental illness marked by unstable moods, behavior, and relationships. . . some people with severe borderline personality disorder have brief psychotic episodes."

Diagnostic criteria for 301.83 Borderline Personality Disorder

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.
  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 usually 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.

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