In one case, someone is being a jerk because they can't control their reactions due to their anxiety disorder.
These people are likely remorseful for what they have said or done.
A true jerk is someone who is being a jerk on purpose because they don't care about others. And they don't regret their actions because they think they are justified.
The question then becomes: Does the "true jerk" have more control over his actions, or is he bound by his personality traits just as much as the "remorseful jerk"?
Can we not say that the former can't control his reactions due to their "true jerk" disorder?
These people are likely remorseful for what they have said or done.
A true jerk is someone who is being a jerk on purpose because they don't care about others. And they don't regret their actions because they think they are justified.
Seems like an important distinction to me.