So like, stigmatization even from professionals? Yeah I can see that. It’s absolutely not what I experienced so far, quite the opposite; but I haven’t been to each and every psych ward in my country haha.

Maybe I just didn’t like your phrasing? Because it’s different if you straight up say: The diagnosis and treatment in psychiatry is flawed and still has a long way to go; if you personally suffer from BPD and don’t get the treatment you know you need, get diagnosed with ASD and PTSD to get proper treatment; directly addressing the problems of an established diagnosis and treatment system which is only very sluggishly changing.

edit: if you’re interested in this kind of stuff, search for “OPD-3”, it tries to address the rigidity problem the ICD-10 and DSM-5 have

you won’t have the time or energy for sex

skill issue

I’m diagnosed with BPD and met (quite some) other people who were diagnosed over the years. I think your theory is bullshit – but not in a rude way, it just doesn’t fit what I know about BPD and the women diagnosed with BPD I got to know.

Generally, I would compare mental illness to the personality theory of temperament (in this case flavour of neurodiversity) + experience

Modern treatment methods often follow a bio-psychological or bio-psycho-social model. This is a oversimplification, but BPD is usually a biological/genetic predisposition to be more emotional + bad experiences in your childhood, leading to strong negative emotions and the lack of mechanisms to regulate those emotions, which cumulates in impulsivity, unhealthy coping mechanisms etc later on.

There’s overlap with the vague concept of hypersensitivity and ADHD; there’s differential diagnosis too, which is “hey, this can be similar to that, let’s diagnose properly before we do anything”; and there’s comorbidity.

I agree that trauma plays a big role, and I would go so far as to claim every BPD person is traumatized in a way that justifies therapy, but PTSD is a specific diagnosis, just like autism is.