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DSM-IV Criteria for Diagnosis of Borderline Personality Disorder

The Diagnostic and Statistic Manual for Mental Disorders – Fourth Edition (DSM-IV), published by the American Psychiatric Association, is the manual used by psychiatrists to diagnosis a patient with Borderline Personality Disorder. This manual gives nine criteria for a diagnosis of Borderline Personality Disorder, and requires that the patient has at least five of the nine criteria in order to be diagnosed with the disorder.

The first two criterion listed are traits involving emotions.

Traits three and four are traits involving behavior.

Traits five and six are traits involving identity.

Traits seven, eight, and nine are traits involving relationships.

Below are listed the nine criteria, according to the Diagnostic and Statistic Manual for Mental Disorders – Fourth Edition (DSM-IV), that determine a diagnosis of Borderline Personality Disorder:

Diagnostic criteria for 301.83 Borderline Personality Disorder

(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

About the Author

David Oliver is the founder of BorderlineCentral.com a one stop source of information on how to cope and deal with borderline personality disorder.

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