Antisocial Personality Disorder 301.7 (F60.2)
A. A Pervasive pattern of disregard for an
violation of the rights of others, occurring
since age 15 years, as indicated by three (or
more) of the following:
1. Failure to conform to social norms with
respect to lawful behaviors, as indicated by
repeatedly performing acts that are
grounds for arrest.
2. Deceitfulness, as indicated by repeated
lying, use of aliases, or conning other for
personal profit or pleasure.
3. Impulsivity or failure to plan ahead.
4. Irritability and aggressiveness, as indicated
by repeated physical fights or assaults.
5. Reckless disregard for safety of self or
6. Consistent irresponsibility, as indicated by
repeated failure to sustain consistent work
behavior or honor financial obligations.
7. Lack of remorse, as indicated by being
indifferent to or rationalizing having
hurt, mistreated, or stolen from another.
B. The individual is at least age 18 years.
C. There is evidence of *conduct disorder with
onset before age 15 years.
D. The occurrence of antisocial behavior is not
exclusively during the course of
schizophrenia or bipolar disorder.
*(Childhood-Onset 312.81 (F91.1) Adolescent-Onset 312.82 (F91.2) Unspecified-Onset 312.89 (F91.9)
Borderline Personality Disorder 301.83 (F60.3)
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 five (or more) of the following:
1. Frantic efforts to avoid real or imagined
abandonment. (Note: Do not include suicidal
or self-mutilating behavior covered in
2. A pattern of unstable and intense
interpersonal relationships characterized by
alternating between extremes of idealization
3. Identity disturbance: markedly and
persistently unstable self-image or sense of
4. Impulsivity in at least two areas that are
potentially self-damaging (e.g., spending,
sex, substance abuse, reckless driving, binge
eating). (Note: Do not include suicidal
or self-mutilating behavior covered in
5. Recurrent suicidal behavior, gestures, or
threats, or self-mutilating behavior.
6. Affective instability due to a marked reactivity
of mood (e.g., intense episodic dysphoria,
irritability, or anxiety usually lasting a few
hours and only rarely more than
a few days).
7. Chronic feelings of emptiness.
8. Inappropriate, intense anger or difficulty
controlling anger (e.g., frequent displays of
temper, constant anger, recurrent physical
9. Transient, stress-related paranoid ideation or
severe dissociative symptoms.
Narcissistic Personality Disorder 301.81 (F60.81)
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
1. Has a grandiose sense of self-importance
(e.g., exaggerates achievements and talents,
expects to be recognized as superior without
2. Is preoccupied with fantasies of unlimited
success, power, brilliance, beauty, or ideal
3. Believes that he or she is “special” and unique
and can only be understood by, or
should associate with, other special or high-
status people (or institutions).
4. Requires excessive admiration.
5. Has a sense of entitlement (i.e., unreasonable
expectations of especially favorable
treatment or automatic compliance with his
or her expectations).
6. Is interpersonally exploitative (i.e., takes
advantage of others to achieve his or her
7. Lacks empathy: is unwilling to recognize or
identify with the feelings and needs of
8. Is often envious of others or believes that
others are envious of him or her.
9. Shows arrogant, haughty behaviors or
Histrionic Personality Disorder 301.50 (F60.4)
A pervasive pattern of excessive emotionality and attention seeking, beginning by early adult-hood and present in a variety of contexts, as indicated by five (or more) of the following:
1. Is uncomfortable in situations in which he or
she is not the center of attention.
2. Interactions with others is often
characterized by inappropriate sexually
seductive or provocative behavior.
3. Displays rapidly shifting and shallow
expression of emotions.
4. Consistently uses physical appearance to
draw attention to self.
5. Has a style of speech that is excessively
impressionistic and lacking in detail.
6. Shows self-dramatization, theatricality, and
exaggerated expression of emotion.
7. Is suggestible (i.e., easily influenced by others
8. Considers relationships to be more intimate
than they actually are.