DSM-V Criteria for BPD

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. 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