DSM-IV-TR diagnostic criteria for borderline personality disorder

Minggu, 03 Januari 2010

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

Source : Reprinted from American Psychiatric Association: Diagnostic and Statistical Manual
of Mental Disorders, 4th Edition, Text Revision. Washington, DC, American Psychiatric
Association, 2000. Copyright 2000, American Psychiatric Association. Used with permission.