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A pervasive pattern of instability of interpersonal
relationships, self-image, and affects, and marked impulsivity
beginning by early adulthood and present in a variety of contexts,
as indicated by five (or more) of the following:
- frantic efforts to avoid real or imagined abandonment. Note:
Do not include suicidal or self-mutilating behavior covered in
Criterion 5.
- a pattern of unstable and intense interpersonal relationships
characterized by alternating between extremes of idealization
and devaluation
- identity disturbance: markedly and persistently unstable
self-image or sense of self
- 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.
- recurrent suicidal behavior, gestures, or threats, or
self-mutilating behavior
- 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)
- chronic feelings of emptiness
- inappropriate, intense anger or difficulty controlling anger
(e.g., frequent displays of temper, constant anger, recurrent
physical fights)
- transient, stress-related paranoid ideation or severe
dissociative symptoms
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