I liken it to a flaw in the basic operating system of the mind (faulty logic code installed during initial programming). Humans are extremely adaptable and can find creative workarounds and/or ways to mask it but the flaw will resurface unless it is truly overwritten.
Love this. Overwriting takes time and effort, but is possible. I'm watching it happen with my daughter, as she has gone through DBT and CBT and worked to get her meds on-line. Fascinating, and I wonder if I had been able to watch myself recover (in the 80s) would I have seen similar changes.
In my Hs case, he was always very high functioning, had no other mental illness issues or addictions and Ive felt that was always a big asset to his recovery.
I agree. The BPDs I know (including my BPD sister) who I'm pretty sure will never get real help share this- there are significant comorbidities, particularly addiction. I'm on the fence about high vs low functioning...could be associated, ironically enough, with a more intransigent denial.