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: |
1. Frantic efforts to avoid real or imagined abandonment |
2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation |
3. Identity disturbance: markedly and persistently unstable self-image or sense of self |
4. Impulsivity in at least two areas that are potentially self-damaging (eg, spending, sex, substance abuse, reckless driving, binge eating) |
5. Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior |
6. Affective instability/marked reactivity of mood |
7. Chronic feelings of emptiness |
8. Inappropriate, intense anger or difficulty controlling anger |
9. Transient, stress-related paranoid ideation or severe dissociative symptoms |
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