I actually don't hear much advice on this forum about "working out" issues in the presence of alarmingly negative symptoms. What I see more of is posters who are negatively bonded to Ts they should walk away from, but are too deep in desperation to do so. Assuming no one can understand a situation unless they've experienced it is just another way of staying stuck.
I guess I don't think of terminology as "labels." I think words are important because otherwise there's no chance of shared meaning.