Wien,
Looks like a difference in degree, and finally percieved loss of control of one's emotional resources. The operative word is "percieived". Under the toolbar, Education was the heading that allowed me to review this as I did a cursory read. Thank you for asking the question!
One interesting thing suggested, on another site, was that changing involves unwravelling our "hierarch of fears". Now I understand that, since as I got worse, I just added more fears to myself. Getting over this with a lot of help, a lot of homework, means starting at the bottom of something like a pyramid, and then rebuilding our lives. Then again, theories are just theories, and the final aim is to be able to live, love and learn again, to the extent we can....some like myselves, have struggled all our lives, and have to just do what we can with what we have.
What's tough, is that fear is beneath all this, and being vulnerable, I feel guarded even with credentialized MD's, since "once burned, twice shy" would sum it up.
I'm visual, and my MD has caught on with that(I feel stupid when someone starts drawing, but that's the way my mind is). I wonder if drawing an image of a pyramid and trying to connect the fears, like the famous Abraham Maslow(Brandeis University psychologist) hierarchy would help me? I'll try it. Sorry about being long-winded...but this might help me....