 50 BORDERLINE PERSONALI TY CLIENT PRESENTATION 1. Emotional Reactivity (1 )* A. The client described a history of extreme emotional reactivity when minor stresses occur in his/her life. B. The client's emotional reactivity is usually quite short lived, as he /she returns to a calm state after demonstrating strong feelings of anger, anxiety, or depression. C. The client's emotional liability has been reduced, and he/she reported less frequent incidents of emotional reactivity. 2. Chaotic Interpersonal Relatio nships (2) A. The client has a pattern of intense, but chaotic, interpersonal relationships as he/she puts high expectations on others and is easily threatened that the relationship might be in jeopardy. B. The client has had many relationships that have ended because of the intensity and demands that he/she placed on the relationship. C. The client reported incidents that have occurred recently with friends, whereby he/she continued placing inappropriately intense demands on the relationship. D. The cl ient has made progress in stabilizing his/her relationship with others by diminishing the degree of demands that he/she places on the relationship and reducing the dependency on it. 3. Identify Disturbance (3) A. The client has a history of being confuse d as to who he/she is and what his/her goals are in life. B. The client has become very intense about questioning his/her identity. C. The client has become more assured about his/her identity and is less reactive to this issue. 4. Impulsivity (4) A. The client described a history of engaging in impulsive behaviors that have the potential for producing harmful consequences for himself/herself. B. The client has engaged in impulsive behaviors that compromise his/her reputation with others. C. The clien t has established improved control over impulsivity and considers the consequences of his/her actions more deliberately before engaging in behavior. 5. Suicidal/Self-Mutilating Behavior (5) A. The client reported a history of multiple suicidal gestures a nd/or threats. B. The client has engaged in self-mutilating behavior on several occasions. C. The client made a commitment to terminate suicidal gestures and threats. D. The client agreed to stop the pattern of self-mutilating behaviors. * The numbers in parentheses correlate to the number of the Behavioral Definiti on statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 