This was happening to me and I thought it was a test to check if I was psychotic. Nope, they just hate personality disorders and wanted to mess with me because when I was really psychotic they did not treat me and only made it worse.

Just remember that if you cant trust yourself then dont trust anyone else, psych nurses are trained to deal with personality disorders by recognising they cant help. I was never offered meds, just ridiculed.

If you are visiting the ER and not being asked important questions or consistently offered meds then dont trust or rely on the ER. Trying to trigger someone is not part of diagnosing either.

Also, BPD or NPD, males are gonna get the shit end of the stick, just because some females online have an understanding therapist doesnt mean males are gonna be treated the same because of the same label.

Everyone is different, you can be a little NPD or a lot along with BPD. NPD always takes precedence over BPD, if you cant cognitively empathize with people consistently then its NPD.

Also no amount of CBT became a replacement for meds, if you were ever on meds and they made you better, just stay on them.