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The DSM-IV Axis II Work Group of the American Psychiatric Association finally decided on the name "borderline personality disorder", which is still in use by the DSM-5. [9] However, the term "borderline" has been described as uniquely inadequate for describing the symptoms characteristic of this disorder.
Borderline intellectual functioning, previously called borderline mental retardation (in the ICD-8), [1] is a categorization of intelligence wherein a person has below average cognitive ability (generally an IQ of 70–85), [2] but the deficit is not as severe as intellectual disability (below 70). It is sometimes called below average IQ (BAIQ).
There was also discussion about changing borderline personality disorder, an Axis II diagnosis (personality disorders and mental retardation), to an Axis I diagnosis (clinical disorders). [87] The TARA-APD recommendations do not appear to have affected the American Psychiatric Association, the publisher of the DSM.
The DSM-5 split PD-NOS into two diagnoses: Other Specified Personality Disorder and Unspecified Personality Disorder. They share the general criteria for personality disorders, but let clinicians specify why the presentation does not meet the criteria for any specific personality disorder (e.g. mixed personality features). [5]
Both the DSM-5 and the ICD-11 diagnostic systems provide a definition and six criteria for a general personality disorder. These criteria should be met by all personality disorder cases before a more specific diagnosis can be made. The DSM-5 indicates that any personality disorder diagnosis must meet the following criteria: [19]
The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) is a 10-question self-report screening tool used to identify individuals who may warrant further evaluation for borderline personality disorder (BPD). The questionnaire asks individuals about the presence of symptoms they experience that are characteristic of BPD.
Dimensional models are intended to reflect what constitutes personality disorder symptomology according to a spectrum, rather than in a dichotomous way.As a result of this they have been used in three key ways; firstly to try to generate more accurate clinical diagnoses, secondly to develop more effective treatments and thirdly to determine the underlying etiology of disorders.
A revision of DSM-5, titled DSM-5-TR, was published in March 2022, updating diagnostic criteria and ICD-10-CM codes. [90] The diagnostic criteria for avoidant/restrictive food intake disorder was changed, [ 91 ] along with adding entries for prolonged grief disorder , unspecified mood disorder and stimulant-induced mild neurocognitive disorder .