I saw my CMHT support worker on Friday & described my ‘Was I Misdiagnosed’ post a bit to her & she pointed out that my getting my BPD in remission method, that of eschewing social interaction almost without exception for best part of a decade was a rather extreme measure that many, possibly most with BPD would not easily find benefit from. The fact it worked for me, to the degree that it did, really just reflects my slightly introverted & Astrologically 12th house Sun type mediative loner predisposition. But sadly it also reflects the fact that I was extremely traumatised for decades by my missed diagnoses, being misunderstood & unable to make anything work in the real world.
The fact is that not asking for help, not being able or willing to when you need it, when you know damn well that you need help is a well know trauma response in cPTSD & PTSD & common or garden trauma that is the under pinning of almost all mental health/nervous system issues bar only the neuro-developmental, which obv can be acerbated by a burden of unhealed trauma.
Furthermore it’s still well within the bounds of possibility that intrauterine stress/trauma is the trigger for neuro-developmental adaptations anyway 🤷♀️ in which case it’s ***all*** about stress/trauma just impacting at different ages & times of our development/lives - see: https://www.science.org/doi/10.1126/scisignal.2003406 also https://www.nature.com/articles/s41398-020-00876-5
The fact that I did something stupidly hard for a pwBPD & feel like I saw something that wouldn’t necessarily have been seen/experienced had I not gone the way I did is misleading. There will be many ways to manage the journey of remission of BPD & having support would have definitely made my journey easier & faster & less painful I have no doubt.
What I question though is that pwBPD kind of know that their judgement is really off when it comes to choosing companions/being adopted by others/picked up by abusive people so my choice, given the available options without any diagnoses was hugely sane, logical & kind of the easier option.
When you take that exact propensity to attract & foment interpersonal danger & mayhem & add the inevitably poor executive function, which is literally nobodies fault, is literally the brain structures responding to the relentless perceived inner crisis of unhealed trauma, then without adding in any decent healthy supportive input this dynamic explains exactly why BPD ends up being such a tragic disaster so much of the time.
Public health money spent supporting pwBPD should be counted as very well spent when you look at the rates of recovery post dx, after some degree of education, self management skills learning & some actual one to one professional support. We are a group that responds so well that 80% of us are in remission 8 years of diagnosis (nly 40% after 2 years dx) seemingly spontaneously - I think the map of diagnosis plus the concerned support & self protectiveness a dx comes with is the healing spark the pwBPD need, it certainly sounds like it.
This is a nice article discussing some of what I’ve been saying here
https://www.verywellmind.com/is-there-a-cure-for-borderline-personality-disorder-425468
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