I have always struggled with self worth, self esteem and self acceptance my entire life. I have traits of BPD as most all Bipolars do.. I was self harming at age 6 and actively anorexic at age 9.
I have gotten better in someways and other times ? nope I am right back in my childhood and trying to keep my head above water somehow.
I have come to accept that I will always struggle with it in various degrees depending on my mood and which way the wind is blowing.
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Helping others gets me out of my own head ~
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