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Table 6 Borderline pattern qualifier

From: Application of the ICD-11 classification of personality disorders

The Borderline pattern qualifier may be applied to individuals whose pattern of personality disturbance is characterized by a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, as indicated by five (or more) of the following:
Frantic efforts to avoid real or imagined abandonment.
A pattern of unstable and intense interpersonal relationships, typically characterized by alternating between extremes of idealization and devaluation.
Identity disturbance, manifested in markedly and persistently unstable self-image or sense of self.
Impulsivity manifested in potentially self-damaging behaviours (e.g., risky sexual behaviour, reckless driving, excessive alcohol or substance use, binge eating).
Recurrent episodes of self-harm (e.g., suicide attempts or gestures, self-mutilation).
Emotional instability due to marked reactivity of mood. Fluctuations of mood may be triggered either internally (e.g., by one’s own thoughts) or by external events. As a consequence, the individual experiences intense dysphoric mood states, which typically last for a few hours but may last for up to several days.
Chronic feelings of emptiness.
Inappropriate intense anger or difficulty controlling anger manifested in frequent displays of temper (e.g., yelling or screaming, throwing or breaking things, getting into physical fights).
Transient dissociative symptoms or psychotic-like features (e.g., brief hallucinations, paranoia) in situations of high affective arousal.
Other manifestations of Borderline pattern, not all of which may be present in a given individual at a given time, include the following:
A view of the self as inadequate, bad, guilty, disgusting, and contemptible.
An experience of the self as profoundly different and isolated from other people; a painful sense of alienation and pervasive loneliness.
Proneness to rejection hypersensitivity; problems in establishing and maintaining consistent and appropriate levels of trust in interpersonal relationships; frequent misinterpretation of social signals.
  1. Note. Adapted from the ICD-11 Clinical Descriptions and Diagnostic Guidelines for Personality Disorder