It is sad - and it's not easy at all. It still sneaks up on me at the worst possible times, and I'm still not (always) quite able to recognize it for what it is before it starts to push me into the self-sabotage cycle. A person likes to think - I'm cured - it's gone!!!! and won't be an issue anymore. SIGH... nope, it's an ongoing thing, it's fluid and hides in a lot of dark, little cubby holes... and the pattern, after all, is built of neurotransmitters, connections, and bio-processes in our brains. Still able to be changed... but it takes a LOT of attention, presence in the moment, and awareness.
One o' these days... I'll cross the tipping point... and it'll seem like a thing of the past, instead of an on-going struggle.