Emotionally unstable personality disorder

ICD-10

Diagnostic criteria from the ICD-10 version of the International Classification of Diseases adapted for use in Russia (common diagnostic criteria for personality disorders, which all subtypes of disorders should meet) ^[1] :

Conditions not directly attributable to extensive brain damage or illness or other mental disorder that meet the following criteria:

• a) noticeable disharmony in personal positions and behavior , usually involving several areas of functioning, such as affectivity , excitability, control of impulses, processes of perception and thinking , as well as a style of attitude towards other people; in different cultural conditions it may be necessary to develop special criteria regarding social norms;
• b) the chronic nature of the abnormal style of behavior that has emerged long ago and is not limited to episodes of mental illness;
• c) the anomalous style of behavior is comprehensive and clearly violates adaptation to a wide range of personal and social situations;
• d) the above-mentioned manifestations always occur in childhood or adolescence and continue to exist during the period of maturity ;
• e) the disorder leads to significant personal distress , but this may become apparent only in the later stages of the passage of time;
• f) usually, but not always, the disorder is accompanied by a significant deterioration in professional and social productivity.

- International Classification of Diseases (10th revision), adapted for use in the Russian Federation - / F60 / Specific personality disorders. Diagnostic criteria ^[1]

To assign a personality disorder to one of the subtypes defined in the ICD-10 (for making a diagnosis of most subtypes) it is necessary that it satisfy at least three criteria defined for this type ^[1] .

Diagnostic criteria from the official, international version of ICD-10 from the World Health Organization (general diagnostic criteria for personality disorders, which all subtypes of disorders should meet) ^[2] :

• G1. An indication that the characteristic and persistent types of inner experiences and the behavior of the individual as a whole substantially deviate from the culturally expected and accepted range (or “ norm ”). Such a deviation should occur in more than one of the following areas:
  • 1) the cognitive sphere (that is, the nature of the perception and interpretation of objects, people and events; the formation of relationships and images of “ I ” and “others”);
  • 2) emotionality (range, intensity and adequacy of emotional reactions);
  • 3) control of drives and satisfaction of needs ;
  • 4) relations with others and the manner of solving interpersonal situations.
• G2. Deviation must be complete in the sense that lack of flexibility, lack of adaptability or other dysfunctional features are found in a wide range of personal and social situations (that is, not limited to a single trigger or situation).
• G3. In connection with the behavior noted in paragraph G2 , personal distress or an adverse effect on the social environment is noted.
• G4. There must be evidence that the deviation is stable and prolonged, starting in older children or adolescents .
• G5. Deviation cannot be explained as a manifestation or consequence of other mental disorders of a mature age, although episodic or chronic conditions from sections F0 to F7 of this classification may exist simultaneously with it or occur against its background.
• G6. As a possible cause of the deviation, organic brain disease, trauma or brain dysfunction should be excluded (if such organic conditionality is detected, the F 07. rubric should be used).

Original Text (eng.)

• G1. The experience and behavior of the individual experience has been marked. The following areas are such deviation:
  • (1) cognition (i.e. ways of perceiving and interpreting);
  • (2) affectivity (range, intensity and appropriateness of emotional arousaland response);
  • (3) control over impulses and need gratification;
  • (4) relating to others and manner of handling interpersonal situations.
• G2. The deviation must manifest itself through a wide range of personal and social situations.
• G3. Or both, clearly attributable to the G2.
• G4. It’s a long lasting episode.
• G5. This is a classification of this classification, or may be superimposed on it.
• G6. (If such an causation is demonstrable, use category F07).

- International Classification of Diseases (10th revision) - / F60 / Specific personality disorders. Diagnostic criteria ^[2]

According to ICD-10 for making this diagnosis of an emotionally unstable personality disorder, besides meeting the common diagnostic criteria for personality disorder , the personality must be different:

• a pronounced tendency to act impulsively, without taking into account the consequences, along with the instability of mood;
• minimal planning ability;
• outbreaks of intense anger affect (often resulting in violence, or “behavioral explosions”), easily provoked when impulsive acts are condemned by others or impede them.

Includes:

• aggressive personality;
• border disorder;
• borderline personality;
• excitable person

Mood mood and antipsychotics can be used to correct mood swings.