Stephen J. Schueler, M.D.

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Personality Disorder Borderline Diagnostic Criteria

The diagnosis of borderline personality disorder requires five or more of the following characteristics:

  • Efforts to avoid abandonment
  • A pattern of unstable and intense interpersonal relationships
  • Identity disturbance that may include a poor sense of self
  • Impulsive behavior in two of the following areas: spending money, sex, substance abuse, reckless driving, or binge eating
  • Recurrent suicidal behavior, gestures, threats, or self-mutilation
  • Unstable mood: intense episodes of depression, irritability, or anxiety usually lasting a few hours
  • Constant feelings of emptiness
  • Inappropriate, intense anger or difficulty controlling anger
  • Stress-related paranoid feelings

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Last Updated: Sep 14, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Personality Disorder Borderline References
  1. Oldham JM. Borderline personality disorder: the treatment dilemma. J Psychiatr Pract. 2004 May;10(3):204-6. [15330230]
  2. Paris J. Recent advances in the treatment of borderline personality disorder. Can J Psychiatry. 2005 Jul;50(8):435-41. [16127960]
  3. Shedler J, Westen D: Refining personality disorder diagnosis: integrating science and practice. Am J Psychiatry 2004 Aug; 161(8): 1350-65. [15285958]
  4. Soloff PH: Psychopharmacology of borderline personality disorder. Psychiatr Clin North Am 2000 Mar; 23(1): 169-92, ix. [10729938]
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