A pervasive pattern of unstable interpersonal relationships, unstable self-
image, unstable affects, and poor impulse control, beginning by early adulthood, and indicated by at least five of the following:
1. Frantic efforts to avoid real or imagined abandonment.
2. Unstable and intense interpersonal relationships, alternating between extremes of idealization and devaluation.
3. Identity disturbance: unstable self-image or sense of self.
4. Impulsivity in at least two areas that are potentially self-damaging (eg, spending, promiscuity, substance abuse, reckless driving, binge eating).
5. Recurrent suicidal behavior, gestures or threats; or self-mutilating behavior
6. Affective instability (eg, sudden intense dysphoria, irritability or anxiety of short duration).
7. Chronic feelings of emptiness.
8. Inappropriate, intense anger or difficulty controlling anger.
9. Transient, stress-related paranoid ideation, or severe dissociative symptoms.
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