Also, what DBT deals with is 100% orthogonal to executive / cognitive dysfunction, but Medicaid won't fund more than one kind of mental health treatment at a time, so if I want to pursue medical options for this it has to wait. But it's badly impacting my ability to follow the DBT program or really do anything else in the meantime. I've been slowly sliding down the cliff face, claws stuck in like Wile E. Coyote, for a while now.