I have suffered from this disorder since I was diagnosed in 1969 at age 17 (I am now 62, female). I have just very recently decided I need help and knowledge about this disorder and all the advice I have found suggests that in order to begin the slow uphill processes of remission one must find a Therapist in which trust can be established on a deep basis, because the sufferer must be able to feel they can trust and be open with the Therapist about all of their negative behaviors and hold nothing back. This is vital and very necessary in order to gain a period or remission. Do not worry about what your therapist will think of you. Look, this is an illness of "dirty little secrets we hold in about ourselves that only make us sicker. We do it because we know we have to hide just how bad we can get in our distortion of reality, yet, this only makes us worse and heightens our symptoms. You pay your Therapist to help you, but to be fair to her, she can only do so much for you if you are not "coming clean" about just how miserable you feel and how off the wall you get with self loathing thoughts, anger and perhaps even self-abuse. You are not in her office trying to win a "popularity contest." This is serious ****, and you have to want with all your being to get better and put the effort in and that will mean having the courage to tell it all, even if doing so is going to rock you to your foundations and walls you have built come crashing down. It will not be an easy journey, but when once becomes "sick and tired" of feeling "sick and tired," it is time to begin the journey. All the best to you, and be brave. It will reap rich rewards with time and effort.