Emotionally unstable personality disorder

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Classification according to ICD-10
F60.3 Emotionally unstable personality disorder
F60.30 Emotionally unstable personality disorder: Impulsive type
F60.31 Emotionally unstable personality disorder: borderline type
ICD-10 online (WHO version 2019)

In the emotionally unstable personality disorder is a personality disorder that only in the ICD-10 is included.

It is characterized by a clear tendency to act out impulses without considering the consequences, combined with an unpredictable and moody mood. There is a tendency to have emotional outbursts and an inability to control impulsive behavior. There is also a tendency towards contentious behavior and conflict with others, especially when impulsive actions are thwarted or hindered.

Subtypes

According to ICD-10, the emotionally unstable personality disorder comprises two subtypes: the impulsive type (F60.30) and the borderline type (F60.31)

For the impulsive subtype , at least three of the following behaviors must be present (including 2.):

  1. clear tendency to act unexpectedly and without considering the consequences,
  2. clear tendency to quarrels and conflicts with others, especially when impulsive actions are prevented or reprimanded,
  3. Propensity for outbursts of anger or violence with inability to control explosive behavior,
  4. Difficulty maintaining actions that are not immediately rewarded
  5. inconsistent and capricious mood.

For the borderline subtype , three criteria of the impulsive subtype must apply as well as two of the following properties:

  1. Disturbances and uncertainty about self-image, goals and internal preferences (including sexual),
  2. Tendency to engage in intense but unstable relationships, often resulting in emotional crises,
  3. excessive efforts to avoid abandonment,
  4. repeated threats or acts of self-harm,
  5. persistent feeling of emptiness.

The impulsive type is "mainly characterized by emotional instability and lack of impulse control". In contrast, the borderline type is "additionally characterized by disorders of self-image, goals and inner preferences, by a chronic feeling of emptiness, by intensive but unstable relationships and a tendency to self-destructive behavior with parasuicidal acts and suicide attempts."

The DSM-5 does not differentiate between these two sub-forms.

Individual evidence

  1. a b c d ICD-10-GM-2013 . icd-code.de, accessed on July 12, 2013.
  2. AWMF : Old S2 guidelines for personality disorders (valid from 2008 to 2013) ( Memento from January 23, 2013 in the Internet Archive ). P. 9