Column a and b, often genetic and life circumstances can lead you there, but often people don’t recognise the symptoms or don’t put in the effort to get out of it.It's a mixture. People can lift themselves out of a mental illness rut if they really want. But it's harder than you can possibly imagine if you haven't been there.
I think it's mostly genetics, coupled with some traumas that cause severe mental illness I think.
I've been taken to the cleaners twice but got back on that horse for a third missus. I have no assets left, so I'm pretty safe!
You poor campaigner.