Borderline Personality Disorder

(The Entertainer)

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:

  • frantic efforts to avoid real or imagined abandonment;

     

  • a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation;

     

  • identity disturbance: markedly and persistently unstable self-image or sense of self;

     

  • impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating);

     

  • recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior;

     

  • 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);

     

  • chronic feelings of emptiness;

     

  • inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights);

     

  • transient, stress-related paranoid ideation or severe dissociative symptoms.

 

Source: The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition

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