Criteria One
Frantic efforts to avoid real or imagined abandonment.
Criteria Two
A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
Criteria Three
Identity disturbance: markedly and persistently unstable self-image or sense of self.
Criteria Four
Impulsivity in at least 2 areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating).
Criteria Five
Recurrent suicidal behavior, gestures or threats, or self-mutilating behavior.
Criteria Six
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).
Criteria Seven
Chronic feelings of emptiness.
Criteria Eight
Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)
Criteria Nine
Transient, stress-related paranoid ideation or severe dissociative symptoms.
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Borderline personality disorder presents symptoms across four main domains: affectivity, interpersonal functioning, impulse control, and cognition. To receive a diagnosis, individuals must meet at least five out of the nine specific criteria.
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Borderline personality disorder can be diagnosed by a licensed mental health professional, like a therapist, psychiatrist, psychologist, or clinical social worker, through a comprehensive assessment of symptoms, experiences, and family medical history.