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This video answers the question: What is the relationship between attachment styles, borderline personality disorder, and comorbid borderline and narcissistic personality disorders? Borderline personality disorder is associated with a number of symptom criteria including frantic efforts to avoid abandonment, unstable or intense relationships (idealization-devaluation cycle), identity disturbance, impulsivity, suicidal behavior, affective instability, chronic feelings of emptiness, intense anger, and paranoid ideation or dissociation. Narcissistic personality disorder is associated with several symptom criteria including a grandiose sense of self-importance, having exaggerated fantasies of success, feeling special or unique, requiring excessive admiration, having a sense of entitlement, tending to exploit other people, having a lack of empathy, tending to envy other people or believing other people would envy then, and being arrogant. Comorbid presentations of borderline and narcissistic personality disorders are not uncommon. About 40% of individuals diagnosed with borderline personality disorder would also qualify for a diagnosis of narcissistic personality disorder. One theory in terms of borderline and comorbid borderline and narcissistic personality disorder is with BPD, we would see a tendency for someone have a preoccupied or unresolved attachment style and with comorbid BPD and NPD, we'd expect to see more dismissing and secondarily preoccupied attachment styles. Diamond, D., Levy, K. N., Clarkin, J. F., Fischer-Kern, M., Cain, N. M., Doering, S., … Buchheim, A. (2014). Attachment and mentalization in female patients with comorbid narcissistic and borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, 5(4), 428–433.