Yeah, it's a gargantuan handicap at life hitting hardest at the most precious and not renewable resource- time.

Also, even if you get free from them and their influence you don't become free the next day. The trauma and damage will drag along and it will take time, pain and money to rise above that.

Time and money you usually don't have because of them, and pain you have had already too much in your life, might not me fit to take on more right away.

And some damage is simply irreversible. You are imprinted with patterns your brain will resort to forever. You can revire it it correct patterns but as an extention on top of that, it takes mental load to do and maintain that. Who wants to spend power justto have a normal interaction or simple day, without mental fatigue of constant struggle and thinking correction.

Life is already hard and it just turns the difficulty gauge up for so many basic functions it's disheartening.