Borderline Personality Disorder: Big Changes in the DSM-5
Diagnosis spotlights instability in self-regulation and social function.
Posted Dec 13, 2011
The core features of borderline personality disorder include emotion dysregulation, impulsivity, and interpersonal dysfunction.
According to the DSM-5, borderline personality disorder is characterized by:
Pervasive instability of social relationships, elf-image, and emotions; marked impulsivity beginning in early adulthood and present in at least five of the following contexts:
• Frantic efforts to avoid real or imagined abandonment, reflecting intolerance to be alone
• Unstable and intense relationships marked by abrupt and extreme shifts between idealization and devaluation
* Identity disturbance, seen in an unstable self-image or sense of self
• Marked mood reactivity
• Chronic feelings of emptiness
• Frequent displays of inappropriate or intense anger
• Stress-related paranoid ideation or severe dissociative symptoms.
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