Personality Disorders
Mood Disorders
Pervasive pattern of instability of interpersonal relationships, self-image, and affect, with marked impulsivity beginning by early adulthood; ≥5 of 9: frantic efforts to avoid abandonment; unstable intense relationships; identity disturbance; impulsivity in ≥2 damaging areas; suicidal/self-mutilating behaviour; affective instability; chronic emptiness; inappropriate intense anger; transient stress-related paranoia/dissociation
Hypomanic episode threshold has been met.
No additional structured criteria supplied
B. Major depressive episode threshold has been met. C. There has never been a manic episode. D. The mood episodes are not better explained by schizoaffective disorder or another schizophrenia-spectrum or psychotic disorder.
A. Pervasive pattern of instability of interpersonal relationships, self-image, and affect, with marked impulsivity beginning by early adulthood; ≥5 of 9: frantic efforts to avoid abandonment; unstable intense relationships; identity disturbance; impulsivity in ≥2 damaging areas; suicidal/self-mutilating behaviour; affective instability; chronic emptiness; inappropriate intense anger; transient stress-related paranoia/dissociation
A. ≥1 hypomanic episode + ≥1 major depressive episode; never a full manic episode B. Hypomanic/depressive episodes not better explained by schizoaffective or other psychotic disorder C. Clinically significant distress or impairment in functioning
Mild / Moderate / Severe; With prominent dissociative features; With predominant impulsive behaviour; With predominant affective instability
Current or most recent episode: Hypomanic / Depressed; With anxious distress; With mixed features; With rapid cycling
Bipolar II disorder (episodic mood elevation; not reactive mood instability); MDD (full depressive episodes; without chronic identity/relational disturbance); PTSD (highly comorbid with BPD)
Bipolar I disorder (full manic episode present - reclassify); Major depressive disorder (hypomanic periods not identified); Cyclothymic disorder (subthreshold fluctuation; < 2 years)