Is it a chemical imbalance? A neurological thing? All I know is they’re not like other mental disorders and they’re difficult to treat.
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One of the things that makes them so difficult to diagnose and to treat is that we don’t understand them at all except for clusters of symptoms which often heavily overlap anyways. Although we don’t perfectly understand things like depression, anxiety, bipolar, or ocd either… we have a wide variety of treatments options, both chemical and therapeutic that we know work based on mountains of research (for example, we know SSRI’s slow down the reuptake of serotonin, so they can be very effective at treating serotonin imbalances, and we know CBT has proven to reduce intrusive/rumination thought loops when practiced consistently for several months).
With personality disorders, it seems like the only obvious trend is that people who tried the most treatments are the people who’ve had the most success; essentially throwing everything at the wall and hoping something will stick.
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