The reason most people get stuck in the self-sabotage loop, from my experience, is because they simply don't have the time or money to actually work on themselves, or their surroundings. But she works 3 hours a day, plus recording and other shit, and is making a killing. She can afford to move somewhere nice, safe, and away from people, but she doesn't do it. She has all the time in the world, and people around her who want to help her work on her brainworms, but she doesn't.
Yeah, we're living in a time of comical evil, but Pippa is in control of her life about as much as anyone could be these days, and she still wants to cope that she can't do anything because the universe is out to get her. I don't want to armchair psychologist or pretend to understand the sauceless spaghetti that makes up her brain, but it really is getting tiring listening to it.