Thank you so much for the input, I am also sorry you are going through this again! I try to acknowledge that the symptoms aren’t unique aspects of various things but rather just symptoms of the dpdr as a whole. Can i ask what you have done to recover from your other episodes?
One thing all the episodes had in common, was that I found myself at a bad spot in my life. I was either out of a job or education and my financial situation was unstable. I also didn‘t see people a lot and had low self worth. In summary, i simply had too much empty time on my hands.
So what got me out was simply reversing the situation. Starting education/job, socializing more and starting doing things that gave me back my confidence. This all forced me to focus more on the pressent and gave me confidence enough to break the anxiety>ocd>dpdr circle.
Don’t get me wrong, it was super hard at first. I had intense social anxiety and dreaded doing these things but I forced myself out there and not too long after, I was healed.
This is just my case however. You should analyze your life and find out where your anxiety and low self-esteem comes from aside from the dpdr and then try and do something about it. I see this state as something like a wake-up call from life. Something needs to change for it to go fully away, that is my experience at least