It is interesting to try to determine cause and effect between the first list:
-self-esteem
-lifestyle
-coming to terms with the past
-resilience
-compulsive behaviours
and Specter's list:
1. Despair
2. Deprivation
3. Emotional neglect
4. Terror
5. Grief
6. Guilt
7. Self-punishment
8. Self-loathing
Let me re-order and comment on the Dr's list:
-coming to terms with the past
The past is where it all starts isn't it. Since we can't control our future we definitely can't control our past. Our sense of empowerment comes from our experiences in the past. Which brings up:
-resilience
This word is where talk becomes cheap. I think where therapy helps is to give us the cognitive tools to build a feeling of resilence. If you continue to do the same thing why do you expect different results? Because of:
-compulsive behaviours
I still have behaviors (Hi Specter! This American spelling is in your honor

) left over from when I began self-harming as a teenager. Why did I begin self harming? Because it was something that worked. Why do I have remainders of the behaviors? Because if I work too hard at living a healthy lifestyle I begin to experience:
Terror
Grief
Guilt
Despair
Self-loathing
-self-esteem &
-lifestyle
These two parameters are linked. Somehow my self-esteem is tied to the choices I make for my lifestyle. If I change my lifestyle too much the emotions above kick in and I start making "negative progress". See my comments about going back to my prescriptions.
Because of my past I begin to experience feelings of:
Deprivation
Emotional neglect
When I was in college my best friend and roommate went home for a long weekend. While he was gone my tendencies got out of control and I attempted suicide. I kept my research materials, and a few years later looked at them and saw that my plan did not coincide with the research, which I took as a hopeful sign.
Ten years later I talked to my roommate who said that when he got back he went and talked with my therapist, and felt the guy was putting blame on him for not being sensitive enough. This is a lesson that I apply at home. My wife DOES NOT deprive or neglect me of emotional support, but she has made a lot of sacrifices, and I need to consider the pace of my lifestyle changes with her needs.
In summation, the biggest self-destructive behavior I have left is my nicotine addiction. Last summer I moved to vaping and pills, and began to decrease those doses. When I had my last breakdown cigarettes provided me my only relief. I smoked up to 15 a day, and worked my way back to my current 6 cigs a day. Last June I was at 3 cigs a day before I quit buying them (A pack lasted a week). In late July or early August I got off my pills, and began to reap the benefits of losing the side effects were tiredness, and the blunting of normal emotional response. But, it took just a few days for my anxiety to go from not-noticeable to intolerable. It happened so fast that I can't really identify the trigger, other than it was the start of the holidays which I can't stand.
Moving forward, I plan to change the steps to: Stop smoking, limit my nicotine, stop my nicotine, AND THEN start to limit the drugs. In addition, I think that I will get back on the drugs before the times of year that trigger me until I have a lifestyle that it healthy and I have maintained for a few years.