I have already written several posts about my ‘Borderline Personality Disorder‘. However, as yet I haven’t really given an explanation of the condition so readers will understand what I am talking about in my posts. So here is the ‘official’ description of Borderline Personality Disorder.
Borderline Personality Disorder (BPD)
What is it?
BPD is a serious mental health condition, it is a controversial diagnosis of a highly contested disorder and has co-morbidity with many other mental health conditions, depression, anxiety, eating disorders and substance abuse. Alongside each of the DSM IV terms I have added a ‘laymen’s terms explanation of the criteria to help you understand the technical jargon.
The Diagnostic and Statistical Manual of Mental Disorders fourth edition, DSM IV-TR, a widely used manual for diagnosing mental disorders, defines borderline personality disorder (in Axis II Cluster B) as:
- Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-injuring behavior covered in Criterion 5 (in laymen terms – fearing being abandoned or rejected or being alone)
- A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. (difficulty in making and maintaining relationships)
- Identity disturbance: markedly and persistently unstable self-image or sense of self. (having an unstable sense of identity, such as thinking differently about yourself depending on who you are with)
- Impulsivity in at least two areas that are potentially self-damaging (e.g., promiscuous sex, eating disorders, binge eating, substance abuse, reckless driving). Note: Do not include suicidal or self-injuring behavior covered in Criterion 5 (taking risks or doing things without thinking about the consequences)
- Recurrent suicidal behavior, gestures, threats or self-injuring behavior such as cutting, interfering with the healing of scars (excoriation) or picking at oneself. (suicide attempts, self-harm)
- 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). (having emotions that are up and down for example, feeling confident one day and feeling despair another)
- Chronic feelings of emptiness
- Inappropriate anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
- Transient, stressrelated paranoid ideation, delusions or severe dissociative symptoms (sometimes believing in things that are not real or true (called delusions) or seeing or hearing things that are not really there (called hallucinations).)
- It is a requirement of DSM-IV that a diagnosis of any specific personality disorder also satisfies a set of general personality disorder criteria.
source’s: DSM IV-TR and Mind
I will examine each of the criteria as it applies to me in separate posts and update this post with links to each of these as they are published.
How the criteria apply to me –
- Abandonment issues – Abandonment and the borderline personality
- Unstable relationships – Splitting – Unstable relationships in Borderline Personality Disorder
- Unstable sense of self – Constant career changes – the BPD unstable sense of self and identity
- Impulsivity – Impulsivity and Borderline Personality Disorder
- Self injury/suicidal behaviour – *Trigger* Thinking about Self-Harm
- Unstable Mood – Unstable Moods in BPD
- Chronic feelings of emptiness – Chronic feelings of Emptiness in BPD
- Anger Management – Anger and Borderline Personality Disorder
- Short term paranoia’s, delusions or dissociation – Paranoia, delusion and dissociation in BPD
If you want to access all my posts about BPD you can find them listed on my ‘Borderline Personality Disorder‘ Page in the tabs across the top of the site.
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- What is borderline personality disorder? (zocdoc.com)
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- Bipolar Disorder vs. Borderline Personality Disorder (everydayhealth.com)
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- Bipolar Disorder and Borderline Personality Disorder (everydayhealth.com)
- Manipulative or mentally ill, or both – Guest Blog by Steve (showard76.wordpress.com)
- Psychotherapy – My first therapy session (showard76.wordpress.com)
- Constant career changes – the BPD unstable sense of self and identity (showard76.wordpress.com)