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According to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM), the following criteria are all signs and symptoms of BPD.
▪️You frantically try to avoid real or imaginary abandonment.
▪️You have a pattern of unstable relationships. You alternate between idealizing and devaluing others in your relationships.
▪️You have an unstable self-image or self-identity.
▪️You act impulsively in at least two areas of your life in ways that can be self-damaging. For example, you may spend too much money or abuse substances.
▪️You have a history of suicidal or self-mutilating behavior.
▪️You have frequent mood swings. They usually last for a few hours but may last for a few days or more.
▪️You have severe and long-term feelings of emptiness.
▪️You have difficulty controlling your anger or you get severely angry without cause. You may feel angry all the time, display your anger frequently, or get in frequent physical fights.
▪️You have periods of stress-related paranoia or experience severe dissociation. Dissociation occurs when you feel like your mind is detached from your emotions or body.
▪️You must meet at least five of the official criteria from the DSM to be diagnosed with BPD.
If your doctor thinks you might have BPD, they will probably refer you to a mental health professional. They can make a diagnosis. They will ask you questions and analyze your emotional and behavioral history.