Data Entry Initials: ___________ Assessor ID # & Initials: _________________________
Date: ______________________ Client ID # & Initials: _________________________
Second Entry: _______________ Date: _________________________
Date: ______________________ Assessment: _________ Session: ________
BORDERLINE PERSONALITY BPD CRITERIA
DISORDER
A pervasive pattern of instability
of interpersonal relationships,
self-image, and affects and
marked impulsivity beginning by
early adulthood and present in a
variety of contexts, as indicated
by 5 (or more) of the following:
90. You've said that you have [Have (1) frantic efforts to avoid real or ? 1 2 3 112
you] often become frantic when imagined abandonment
you thought that someone you [DO NOT INCLUDE SUICIDAL
really cared about was going to OR SELF-MUTILATING
leave you. BEHAVIOUR COVERED IN
(5).]
What have you done? 3 = several examples
(Have you threatened or pleaded
with him/her?)
91. You've said that [Do] your (2) a pattern of unstable and ? 1 2 3 113
relationships with people you intense interpersonal relationships
really care about have lots of characterized by alternating
extreme ups and downs. between extremes of idealization
and devaluation
Tell me about them.
(Were there times when you 3 = either one prolonged
thought they were everything relationship or several briefer
you wanted and then other times relationships in which the
when you thought they were alternating pattern occurs at least
terrible? How many twice
relationships were like this?)
? = inadequate information 1 = absent or false 2 = subthreshold 3 = threshold or true
SCID Axis II BPD page 1 of 4 Blue 10/30/19
NIMH 3 b 1999-2003
92. You’ve said that you have [Have (3) identity disturbance: ? 1 2 3 114
you] all of a sudden changed markedly and persistently
your sense of who you are and unstable self-image or sense of
where you are headed. self
Give me some examples of this. [Note: Do not include normal
adolescent uncertainty]
93. You’ve said that your [Does 3 = acknowledges trait
your] sense of who you are often
changes dramatically.
Tell me more about that.
94. You’ve said that you are [Are
you] different with different
people or in different situations
so that you sometimes don’t
know who you really are.
Give me some examples of this.
(Do you feel this way a lot?)
95. You've said that there have been
[Have there been] lots of sudden
changes in your goals, career
plans, religious beliefs, and so
on.
Tell me more about that.
96. You've said that you’ve [Have (4) impulsivity in at least two ? 1 2 3 115
you] often done things areas that are potentially self-
impulsively. damaging (e.g., spending, sex,
substance abuse, reckless driving,
What kinds of things? binge eating). [DO NOT
INCLUDE SUICIDAL OR
SELF-MUTILATING
BEHAVIOR IN (5).]
? = inadequate information 1 = absent or false 2 = subthreshold 3 = threshold or true
SCID Axis II BPD page 2 of 4 Blue 10/30/19
NIMH 3 b 1999-2003
(How about ... 3 = several examples indicating a
... buying things you really pattern of impulsive behavior (not
couldn’t afford? necessarily limited to examples
... having sex with people you above)
hardly knew, or “unsafe sex”?
... drinking too much or taking
drugs?
... driving recklessly?
... uncontrollable eating?)
IF YES TO ANY OF ABOVE:
Tell me about that. How often
does it happen? What kinds of
problems has it caused?
97. You’ve said that you have [Have (5) recurrent suicidal behavior, ? 1 2 3 116
you] tried to hurt or kill yourself gestures, or threats, or self-
or threatened to do so. mutilating behavior
98. You've said that you have [Have 3 = two or more events (when not
you ever] cut, burned, or in a Major Depressive Episode)
scratched yourself on purpose.
Tell me about that.
99. You've said that [Do] you have a (6) affective instability due to a ? 1 2 3 117
lot of sudden mood changes. marked reactivity of mood (e.g.,
intense episodic dysphoria,
Tell me more about that. irritability, or anxiety usually
lasting a few hours and only
rarely more than a few days)
(How long do your “bad” moods 3 = acknowledges trait
last? How often do these mood
changes happen? How suddenly
do your moods change?)
100. You've said that [Do] you often (7) chronic feelings of emptiness ? 1 2 3 118
feel empty inside.
Tell me about this. 3 = acknowledges trait
? = inadequate information 1 = absent or false 2 = subthreshold 3 = threshold or true
SCID Axis II BPD page 3 of 4 Blue 10/30/19
NIMH 3 b 1999-2003
101. You've said that [Do] you often (8) inappropriate, intense anger or ? 1 2 3 119
have temper outbursts or get so difficulty controlling anger (e.g.,
angry that you lose control. frequent displays of temper,
constant anger, recurrent physical
Tell me about this. fights)
102. You've said that [Do] you hit 3 = acknowledges trait and at
people or throw things when least one example OR several
you get angry. examples
Tell me about this.
(Does this happen often?)
103. You've said that [Do] even little
things get you very angry.
When does this happen?
(Does this happen often?)
104. You’ve said that when you are (9) transient stress-related ? 1 2 3 120
under a lot of stress, you [When paranoid ideation or severe
you are under a lot of stress, do dissociative symptoms
you] get suspicious of other
people or feel especially spaced
out.
Tell me about that.
AT LEAST 5 ITEMS ARE 1 3 121
CODED "3"
BORDERLINE
PERSONALIT
Y
DISORDER
? = inadequate information 1 = absent or false 2 = subthreshold 3 = threshold or true
SCID Axis II BPD page 4 of 4 Blue 10/30/19
