DSM criteria:
* Frantic efforts to avoid real or imagined abandonment
* A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
* Identity disturbance: markedly and persistently unstable self-image or sense of self
* Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating)
* Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
* Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)
* Chronic feelings of emptiness
* Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)
* Transient, stress-related paranoid ideation or severe dissociative symptoms
Cause: Like most, serious, mental health issues, there appears to be a genetic predisposition (nature), that can be enhanced or "set off" of certain life experiences (nurture)such as abandonment or actual abuse as a child.
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