Highly heritable, lifelong vulnerability that destabilises mood regulation. Compromised prefrontal-limbic regulation, hypersensitivity to dopaminergic effects, intracellular signalling, circadian biology. Kindling then degeneration. Highly complex. Many overlaps with other psychiatric conditions such as schizophrenia and major depression
| Transformative Shifts in Worldview or Core Beliefs | Integration |
| Addiction | Managing Addiction |
| Grandiosity | External Grounding & Shared Models |
| Aggression & Competitiveness | Empathy & Fun |
| Attentional Leng T'Che | Focus |
| Pressured Speaking | Signal to Noise |
| Maladaptive Creativity | Shared Models & Collaboration |
Lesson noted: drop drug metaphors, drop wonder-framing on a clinical topic, drop puns on engineering acronyms, treat psychiatric vocabulary with the same care as production-incident vocabulary.