DSM-V Criteria for BPD | CMCS Nepal
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DSM-V Criteria for BPD

18th February, 2023

In the Diagnostic and Statistical Manual (DSM-V) diagnosis of BPD is based on (1) a pervasive pattern of instability of interpersonal relationship, self-image, and affects and (2) marked impulsivity beginning by early adulthood and present in a variety of contexts

    1. Frantic efforts to avoid real or imagined abandonment; this does not include suicidal or self-mutilating behavior in criterion 5
    2.  A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
    3. Markedly and persistently unstable self-image or sense of self
    4. Impulsivity in at least two areas that are potentially self-damaging (eg, spending, sex, substance abuse, reckless driving, bing eating); this does 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 (eg, intense episodes of 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 (eg, frequent displays of temper, constant anger, or recurrent physical fights)
    9. Transient, stress-related paranoid ideation or severe dissociative symptoms

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