When I was in high school I was extremely anxious with anxiety and panic attacks and bpd. I was then severely abused by my first husband from the age of 20-25 and I dissociated a lot. The bpd become more severe however the panic attacks went away and I went into an extreme anxiety mode and did not leave the house for 3 months. My mind seemed to shatter. I exhibited numerous behaviours belonging to numerous disorders. Finally in the end I am now dx with bipolar I with extreme psychosis hallucinations/delusions/mania and bpd. I have been told that my pysychosis can move from a mood disorder into a thought disorder such as Schizophrenia very fast if left untreated.

So yes it is what the person has that makes it the worst for that person, but it can and does change over time for that person.

"He grabbed me and took all my clothes off and pushed me naked into our closet and started to the throw everything he could find at me laughing while I tried to get out. When he reached for the iron that was still plugged in I knew this was not going to end well..." exert from dairy 1993 Lara Patterson Richey