Impairments in interpersonal functioning (a or b)Ī) Empathy: Compromised ability to recognize the feelings and needs of others associated with interpersonal hypersensitivity (i.e.Impairments in self-functioning (a or b)Ī) Identity: Markedly impoverished, poorly developed, or unstable self-image, often associated with excessive self-criticism chronic feelings of emptiness dissociative states under stress.ī) Self-direction: Instability in goals, aspirations, values, or career plans.AND.To diagnose borderline personality disorder, the following criteria must be met:Ī) Significant impairments in personality functioning manifest by: The essential features of a personality disorder are impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits. The DSM-5 (2013) diagnostic criteria for Borderline Personality Disorder: transient, stress-related paranoid ideation or severe dissociative symptoms.
frequent displays of temper tantrums, constant anger, and reoccurring fights). inappropriate, intense anger or difficulty controlling anger (e.g.intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days). affective instability due to a marked reactivity of mood (e.g.recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. impulsivity in at least two areas that are potentially self-damaging (e.g., excessive spending, substances of abuse, sex, reckless driving, binge eating).identity disturbance: markedly and persistently unstable self-image or sense of self.a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.frantic efforts to avoid real or imagined abandonment.Below are the changes we will see, starting with the current DSM-IV-TR and moving into the DSM-5: The DSM-IV-TR (2000) criteria for Borderline Personality Disorder is as follows:Ī 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: Hopefully, the changes in the DSM-5, which make the criteria more specific will diminish both BPD’s overlaps and its heterogeneity. In the DSM-III and IV, placing BPD under the parent class of Personality Disorders may have encouraged excessive use of the residual category, PDNOS (Personality Disorders Not Otherwise Specified). The diagnosis will be more visible and accessible, possibly (and hopefully) leading to the creation of much-needed training programs for clinicians. Because a BPD diagnosis is currently greatly underutilized, most clinicians lack the training that is needed to treat patients with BPD, and because of this lack of training, they are hesitant to work with this population.Ĭhanges within the DSM-5 may encourage doctors to make a BPD diagnosis more frequently than before. Individualized Career, Volunteer & Community ServicesĬhanges to the DSM – Diagnostic and Statistical Manual, often referred to as the “bible” for psychiatrists and other mental health professionals and the subject of much recent controversy, affect several diagnoses, including that of Borderline Personality Disorder (BPD).” Changes to the BPD diagnosis in the new DSM-5 involve radical changes that fundamentally amend a definition of BPD that has survived with minimal changes since it entered the DSM system 30 years ago.Attention Deficit/Hyperactivity Disorder (ADHD).Other Frequently Seen & Co-occuring Conditions.Treating Young Adults with BPD and Their Families.Young Adults Transitioning to Independence.Understanding Mental Health Struggles & Diagnoses.
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