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3 Cards in this Set
- Front
- Back
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Prevalence |
1.4-5.9% lifetime (median 2.7%) Greater in females than males in clinic not community |
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Course and onset |
Worse: early adulthood (early as 12-13 years old) Wanes with age Impulsive symptoms remit 1st Affective last |
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Diagnostic Criteria |
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 5 or more of the following: 1. Frantic efforts to avoid real or imagined abandonment (note: do not include suicidal or self-mutilating behavior covered in criterion 5) 2. 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 (spending, sex, substance abuse, reckless driving, binge eating) Note: do not include suicidal or self-mutilating behavior 5. Recurrent suicidal behavior, gestures, threats, or self-mutilating behavior 6. Affective instability due to a marked reactivity of mood (irritability, anxiety, last few hours to few days at most) 7. Chronic feelings of emptiness 8. Inappropriate, intense anger or difficulty controlling anger ( frequent displays of temper, constant anger, recurrent physical fights) 9. Transient, stress-related paranoid ideation or severe dissociative symptoms |
