A pattern of unstable and intense interpersonal relationships.Frantic efforts to avoid real or imagined abandonment.The Borderline pattern descriptor may be applied to individuals whose pattern of personality disturbance is characterized by:Ī pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, as indicated by many of the following: The ICD-11 describes one of the predominant traits as ‘borderline pattern’ Associated with substantial distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.Not developmentally appropriate and cannot be explained primarily by social or cultural factors.Manifest in patterns of cognition, emotional experience, emotional expression, and behaviour that are maladaptive (e.g., inflexible or poorly regulated) and is manifest across a range of personal and social situations (i.e., is not limited to specific relationships or social roles).Functioning of aspects of the self (e.g., identity, self-worth, accuracy of self-view, self-direction),Īnd/or interpersonal dysfunction (e.g., ability to develop and maintain close and mutually satisfying relationships, ability to understand others’ perspectives and to manage conflict in relationships) that have persisted over an extended period of time (e.g., 2 years or more).Characteristic difficulties are apparent in identity, self-direction, empathy, and/or intimacy, along with specific maladaptive traits in the domain of Negative Affectivity, and also Antagonism and/or Disinhibition" ICD-11: Criteria for a diagnosis of Personality Disorder and related traits # The appendix (p 766-7) of the DSM-5 lists Proposed Diagnostic Criteria for BPD which mentions " the typical features of BPD as instability of self-image, personal goals, interpersonal relationships, and affect, accompanied by impulsivity, risk taking, and/or hostility. Transient, stress-related paranoid ideation or severe dissociative symptoms.frequent displays of temper,Ĭonstant anger, recurrent physical 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 behaviour, gestures, or threats, or self-mutilating behaviour.spending, sex, substance abuse, reckless driving, binge eating) (Note: Do not include suicidal or self-mutilating behaviour covered in Criterion 5) Impulsivity in at least two areas that are potentially self-damaging (e.g.
Identity disturbance: markedly and persistently unstable self-image or sense of self.A pattern of unstable and intense interpersonal relationships characterised by alternatingīetween extremes of idealisation and devaluation.Frantic efforts to avoid real or imagined abandonment (Note: Do not include suicidal or self-mutilating behaviour covered in Criterion 5).The ICD11 also includes a new diagnosis of complex post traumatic stress disorder DSM-5 diagnostic criteria for BPD^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) or the following:
World Health Organization International statistical classification of diseases and related health problems 11th Revision ( ICD-11) includes diagnostic criteria for personality disorder and a borderline pattern. Prior to the release of the DSM-5 there was much discussion re changing the diagnostic criteria however a decision could not be reached and the criteria remained unchanged from the DSM-IV-TR. Intro: BPD is usually diagnosed in Australia using the American Psychiatric Association Diagnostic and statistical manual of mental disorders 5th edition (DSM-5). ICD-11: Complex Post Traumatic Stress Disorder (CPTSD) ICD-11: Criteria for a diagnosis of Personality Disorder and related traits