braveheart
Member
Maybe I'm being dense, but there is a difference, and I am definitely within the DSM criteria without much doubt. But as to the ICD-10....
See --
DSM -
ICD-10
I fit the Borderline type, but don't really fit any of the Impulsive type needed to fulfill the full criteria.
[I am not self-diagnosing, my therapist confirmed for me today that I have borderline tendencies. Its been a while since we've discussed this, and I am a lot better, much more able to contain and regulate difficult feelings.]
It just disturbs/confuses me, that I fit one version and not the other.
Is this ... usual?
See --
DSM -
~ Frantic efforts to avoid real or imagined abandonment. [Not including suicidal or self-mutilating behavior covered in Criterion 5]
~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, promiscuous sex, eating disorders, substance abuse, reckless driving, binge eating). [Again, not including suicidal or self-mutilating behavior covered in Criterion 5]
~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
ICD-10
F60.3 Emotionally unstable personality disorder
F60.31 Borderline type
The general criteria for personality disorder (F60) must be met. [see below]
At least three of the symptoms mentioned in criterion 2 for F60.30 must be present* [see below], with at least two of the following in addition:
~disturbances in and uncertainty about self-image, aims, and internal preferences (including sexual);
~liability to become involved in intense and unstable relationships, often leading to emotional crisis;
~excessive efforts to avoid abandonment;
~recurrent threats or acts of self-harm;
~chronic feelings of emptiness.
F60.30 Impulsive type *
The general criteria for personality disorder (F60) must be met. [see below]
At least three of the following must be present, one of which must be (2):
~marked tendency to act unexpectedly and without consideration of the consequences;
~marked tendency to quarrelsome behaviour and to conflicts with others, especially when impulsive acts are thwarted or criticized;
~liability to outbursts of anger or violence, with inability to control the resulting behavioural explosions;
~difficulty in maintaining any course of action that offers no immediate reward;
~unstable and capricious mood.
I fit the Borderline type, but don't really fit any of the Impulsive type needed to fulfill the full criteria.
[I am not self-diagnosing, my therapist confirmed for me today that I have borderline tendencies. Its been a while since we've discussed this, and I am a lot better, much more able to contain and regulate difficult feelings.]
It just disturbs/confuses me, that I fit one version and not the other.
Is this ... usual?