DSM-IV Criteria

Although this site is not an introduction to Borderline Personality Disorder, and I am not a doctor or therapist, I thought it might be helpful to look at the DSM-IV diagnosis criteria. If you have 5 of these 9, you are considered a borderline:

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 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 behavior covered in Criterion 5. 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

To me, this seems sort of weird, because there would be hundreds, if not thousands, of flavors of BPD.http://www.fortunecity.com/campus/psychology/781/bpd-dsm.htm

Related posts:

1. Biology of Borderline Personality Disorder
2. The Myth of the High-Functioning Borderline
3. The DSM-IV and Bon’s view of BPD/ERD – What’s required?
4. Proposed Changes in the DSM-V for Borderline Personality Disorder
5. The ICD-10 may provide a better diagnostic criteria for borderline than the DSM-V

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