"Individuals with BPD can be very sensitive to the way others treat them, reacting strongly to perceived criticism or hurtfulness. Their feelings about others often shift from positive to negative, generally after a disappointment or perceived threat of abandonment or of losing someone. Self-image can also change rapidly from extremely positive to extremely negative. Impulsive behaviors are common, including alcohol or drug abuse, promiscuous and intense sexuality, gambling and recklessness in general. Attachment studies have revealed a strong association between BPD and insecure attachment style, the most characteristic types being "unresolved", "preoccupied", and "fearful". Evidence suggests that individuals with BPD, while being high in intimacy- or novelty-seeking, can be hyper-alert to signs of rejection or devaluation and tend toward insecure, avoidant or ambivalent, or fearfully preoccupied patterns in relationships. They tend to view the world as generally dangerous and malevolent. BPD is linked to increased levels of chronic stress and conflict in romantic relationships, decreased satisfaction of romantic partners, abuse and unwanted pregnancy; these links may be general to personality disorder and subsyndromal problems."
F60.30 Impulsive type
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 (impulsive, whimsical) mood.
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