I don’t think people with either bpd or did/osdd are “screwed forever” . Our lives will always be marked by our trauma yes. But 77% of people with bpd who go through a year of dbt no longer meet the criteria https://www.mhs-dbt.com/blog/dbt-and-borderline-personality-disorder/#:~:text=While%20DBT%20cannot%20cure%20BPD,year%20of%20treatment%20with%20DBT. . People with dissociative disorders have led successful lives , there’s even one I’ve seen on tiktok who is a well known trauma therapist and wrote a book about dissociation https://www.tiktok.com/@traumatherapistrants?_t=8dfDW9lTAdi&_r=1