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It can be a consequence of mania and depression.
At times you don't care about anything, everything is meaningless, you're not emphatic.
When everything is less important than what you want to achieve or people are instrumental in what really only you want to achieve, you're not emphatic.
Personality problems/disorders can make things worse (and chronic).
Schizophrenia (being in some ways similar to both BP and BPD) causes a (chronic) lack of empathy (and emotions in general).
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Mania kills cells. Brain cells die. Memories become more reduced conceptually, making more efficient use of limited means. Memories shape our reality. Our memories are more or less split in two by abstractions, conceptual reductions. Mood states with memories, concepts, attached. Memories of pain and those of joy. It causes instability, changeability. Fearing that will leave an emptiness between pain and joy and a greater divide.
See Me, Feel Me, Touch Me, Heal Me.
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