Borderline personality disorder

Recurrent crises around attachment threat, splitting, intense anger, reassurance-seeking

UrgentReview due

At a glance

Watch forSelf-harmdissociationacute suicide riskescalating interpersonal violenceCurrent self-harmsuicidality

Shifts are reactive, brief, and relationship-linked rather than sustained episodic elevation with reduced need for sleep.

Separates the Mood Lability / Emotional Dysregulation group. It is not specific to Borderline personality disorder.

Rows marked “Whole group”: Applies to the Mood Lability / Emotional Dysregulation group — not specific to Borderline personality disorder

Recurrent crises around attachment threat, splitting, intense anger, reassurance-seeking

Key features2 features

Rapid affective shifts around perceived rejection, abandonment, invalidation
Interpersonal sensitivity, fear of abandonment, identity disturbance, recurrent dysregulation.

Self-harm, dissociation, acute suicide risk, escalating interpersonal violence.

High-risk causes7 causes

Applies to the Mood Lability / Emotional Dysregulation group.

Shifts are reactive, brief, and relationship-linked rather than sustained episodic elevation with reduced need for sleep.

Helpful clues1 clue

Interpersonal sensitivity, fear of abandonment, identity disturbance, recurrent dysregulation.

Applies to the Mood Lability / Emotional Dysregulation group.

None listed

Priority steps

Applies to the Mood Lability / Emotional Dysregulation group.

None listed

Core tests

Applies to the Mood Lability / Emotional Dysregulation group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.