psychiatric disorders
Borderline Personality Disorder (BPD)
Diagnosis of Borderline Personality Disorder
Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revision (DSM-5-TR) criteria For a diagnosis of borderline personality disorder ( Diagnosis reference ), patients must have A persistent pattern of unstable relationships, self-image, and emotions (ie, emotional dysregulation) and pronounced impulsivity This persistent pattern is shown by≥5 of the following: Desperate efforts to avoid abandonment (actual or imagined) Unstable, intense relationships that alternate between idealizing and devaluing the other person An unstable self-image or sense of self Impulsivity in≥2 areas that could harm themselves (eg, unsafe sex, binge eating, reckless driving) Repeated Suicidal Behavior or threats or Rapid changes in mood, lasting usually only a few hours and rarely more than a few days Persistent feelings of emptiness Inappropriately intense anger or problems controlling anger Temporary paranoid thoughts or severe dissociative symptoms triggered by stress Also, symptoms must have begun by early adulthood but can occur during adolescence. Borderline personality disorder is most commonly misdiagnosed as Bipolar Disorders : Other personality disorders share similar manifestations. Histrionic Personality Disorder (HPD) None Differential diagnosis for borderline personality disorder also includes Overview of Mood Disorders None Substance Use Disorders None Posttraumatic Stress Disorder (PTSD) None Many disorders in the differential diagnosis of borderline personality disorder coexist with it. 1. American Psychiatric Association:Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revision (DSM-5-TR). Washington, DC, American Psychiatric Association, 2022, pp 752-757. 