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Diagnostic criteria for 301.83 Borderline Personality Disorder

These criteria are obsolete.

DSM Criteria
DSM Version
DSM IV - TR
DSM Criteria

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 dysphoriairritability, 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

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

DSM Version
DSM IV
DSM Criteria

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 dysphoriairritability, 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

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Copyright 1994 American Psychiatric Association