PDD is multifactorial, like most mood disorders.
Contributing factors may include:
- Biological differences
Changes in neurotransmitter levels (like serotonin, dopamine).
- Genetics
Family history increases risk.
- Childhood trauma
Abuse, neglect, or early adversity are strong risk factors.
- Personality traits
People with low self-esteem or high self-criticism are more vulnerable.
I’m highly self-critical and perfectionistic, and it’s very hard to convince myself that “good enough” is acceptable instead of wanting everything to be flawless.
- Chronic stress or illness
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