Borderline personality disorder

At a glance

Key features: 1 key feature, A
Specifiers: 4 specifiers
Differentials: 6 considerations
Severity specifier: Supported

Key features

The full DSM-5-TR criteria are not included in this record. Everything the record does hold is shown below. Check DSM-5-TR before recording the diagnosis.

A
Key feature 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

Specifiers

4

Mild / Moderate / Severe: Severity determined by intensity of emotional dysregulation, interpersonal dysfunction, self-harm, and functional impairment.
With prominent dissociative features: Marked transient dissociation or paranoia during stress.
With predominant impulsive behaviour: Risk-taking, substance misuse, bingeing, or reckless acts.
With predominant affective instability: Rapid mood shifts with heightened reactivity.

Documentation support

0 of 1 recorded

Record each key feature against your assessment. The note is built from what you mark, and anything you leave alone is written out as not assessed. This record does not include the full DSM-5-TR criteria, so the note states that it was built from a key feature summary.

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

Specifiers

With prominent dissociative featuresWith predominant impulsive behaviourWith predominant affective instability

Other specifiers, comma separated

Differentials excluded

Tick only those you actively considered and ruled out.

Bipolar II disorder (episodic mood elevation; not reactive mood instability)MDD (full depressive episodes; without chronic identity/relational disturbance)PTSD (highly comorbid with BPD)ADHD (impulsivity without identity disturbance or self-harm)Histrionic PD (attention-seeking without self-harm or identity fragmentation)Dependent PD (fear of abandonment but without impulsivity or self-harm)

Note

Include key feature wording

Mark at least one key feature to build the note.

Plain characters only, so the text pastes cleanly into a record. This is a documentation aid and not a substitute for diagnostic reasoning or local documentation requirements.

At a glance

Key features

Specifiers

Documentation support

Specifiers

Differentials excluded

Note

Differential considerations

Record summary

Borderline personality disorder

At a glance

Key features

Specifiers

Documentation support

Specifiers

Differentials excluded

Note

Differential considerations

Record summary