These people always have extreme unstable relationships. And do things to gain attention. Self harm, suicidal behavior, splitting. The buzz word for treatment is dialectaial behavioral therapy

I think of these as the people who seemed very cool in middle school because they could get a new boy friend every week

• Patient has persistent history of unstable relationships and self-injurious behaviors
• Delusional disorder and adjustment disorder are transient pathologies
• Major depressive disorder = Depressed mood and SIGECAPS

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Bipolar Disorder characterized by: Unstable moods, behaviors, interpersonal relationships. Fear abandonment have poorly formed identity. Relationships begin w/ intense attachments and end w/ the slightest conflict. Aggression is common. Impulsive. May have hx of repeated suicide attempts/gestures or episodes of self mutilation. Higher rates of childhood physical, emotional, sexual abuse than gen pop

DSM 5: Pervasive pattern of impulsivity and unstable relationships, affects, self image and behaviors. Present by early adulthood in variety of contexts. At least 5 of:

• Frantic efforts to avoid real or imagined abandonment
• Unstable intense interpersonal relationships (extreme love hate relationships )
• Unstable self image (overestimation of work abilities, refer to self as loser)
• Impulsivity in AT LEAST 2 potentially harmful ways (spending, sexual activity, substance use, binge eating)
• Recurrent suicidal threats or attempts of self mutilation
• Chronic feelings of emptiness
• Difficulty controlling anger
• Transient stress related paranoid ideation or dissociative symptoms

Tx: dialectical behavior therapy (CBT w/ mindfulness, group therapy)