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  1. Background info that may help frame why I have certain questions: I don't have an official BPD Dx and p/tdoc isn't wild about applying labels to anything. On paper, I still essentially have no Dx (not even the recurrent depression and anxiety I have meds for) even though I've been seeking professional help for nearly 8 years. And all 4 d&tdocs I have worked with for decent amounts of time have deliberately avoided putting formal Dx's in my files. I didn't ask for that, they just all went in that direction. Its not because they think nothing is wrong with me. They all say/said that professional help is appropriate. Its been made clear to me that I should not worry about them thinking I'm a hypochondriac or drug-seeker or anything. I understand the insurance crap reasons for minimizing Dx's on paper. Its just that in actual practice, its not always clear to me how to proceed with choosing and implementing recovery tools, particularly behavioral therapies. I've explicitly asked many times, including just this morning. General helpful directional avenues have been identified, but its the specific parameters of an explicit course of action that elude me. I don't expect step-by-step instructions or anything but I need *some* explicit parameters in order to objectively assess progress (or lack thereof). I am not sure of how specific a course of action is optimum. I asked today and basically got told that what I'm doing with workbooks by myself seems to be helpful. No recommendation of joining DBT groups or seeing a supplementary tdoc specifically for "programmed" therapies he doesn't do himself. I asked again because I was unsure then left still feeling not confident that I am doing the best things possible! That said..... 1. How important is it to fully and (relatively) exclusively buy into one mode (school of thought?) of therapy? I ask because I think that belief buy-in, even if temporary and conditional, can help quiet the cacophony of distracting "what if's". 2. How do you recognize what that optimal fit may be in the absence of a clear professional opinion? I am not seeking "perfect" fit, just the most optimal of currently available resources. Besides the obvious "know thyself', what else have you prioritized as decision making criteria for yourselves? 3. How important is professional guidance and structure to doing things like DBT, CBT, etc as well as possible? 4. Similarly, how rapidly did any of you with professional guidance progress (effectively) through workbooks compared to self-guided efforts? 5. Am I asking the right questions? What else should I be considering or made aware of? Am I asking too many questions and should just focus on doing what I have already started with workbooks?
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