Borderline Personality Disorder Symptom Checklist
Self-report checklist to help you reflect on symptoms commonly associated with borderline personality disorder. Please answer honestly based on your recent experiences.
In the past two weeks, how often have you experienced intense mood swings?
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5
How frequently have you felt a fear of abandonment?
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1
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5
Which of the following symptoms have you experienced recently? (Select all that apply)
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Rapid changes in self-image or sense of self
Impulsive behaviors (e.g., spending, risky activities)
Intense or unstable relationships
Chronic feelings of emptiness
Difficulty controlling anger
Temporary stress-related paranoia or dissociation
How often do you experience impulsive behaviors that may be self-damaging?
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5
How frequently do you feel uncertain about your personal goals, values, or career plans?
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5
Please rate the intensity of your anger or difficulty controlling anger in the past two weeks.
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5
In the past two weeks, how often have you felt empty or emotionally numb?
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1
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5
Please describe any additional symptoms or experiences you would like to share.
What strategies, if any, have you found helpful in managing these symptoms?
Is there anything else you would like to add about your recent experiences?
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