The reliance is not on it to create anything. The reliance is on it to guaranteedly kill you unless you create it for yourself. In that sense, the correct clinician response would be a death warrant for the patient.

We submit to you what would seem an overlooked, or perhaps merely unspoken, point: that becoming who you are is an internal process which surgery (by fine steel, effervescent powders, sharp words, or anything else) may help facilitate, but never force.

The complete reliance upon external actors to singlehandedly create internal change and bring it to fruition would, I suspect, be as close to a meaningful definition of "borderline" as could be had.

As such, a referral from a psych to a more apt specialist would indeed be a worthy move. A referral to god, however (no matter his costume), would be at best a pernicious deception.