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PTSD and psychedelics can create confusion and false memories. BPD can cement those in to his reality.
If his memories are different from reality, and our past shapes up, then you can say that he is a different person.
If he is not getting professional help, says the help is working, and says he feels like he is in a good place, do not try to help him.
If professional doctors can’t help him, neither can you.