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Mental health is pretty under-diagnosed clinically and overdiagnosed regularly. I mean for starters things like autism are well a huge ass spectrum. I've never been diagnosed with it, though I certainly have a ton of traits that... well really make sense for it now that I can look at it.
Would also say a large part of the problem is... everythings under-diagnosed clinically in the states because... all forms of healthcare are fricking expensive. So you can spend hundreds to get a doctors appointment to find out that you have it, and, either get a prescription that's also very expensive, or deal with it as you have been so far, and of course the irony that, if you haven't been succesful at dealing with it on your own, you probably have had a harder time working a job, and thus, are in a much worse position to afford the doctors and prescription.
I actually wonder if it's the opposite, to some extent? Giving you a prescription that costs 300$ for three cents of pill is a great way to make money, and mental health, being on a spectrum, can be diagnosed easily.
There's probably some class difference, too. I'd expect extreme over-diagnosis (especially for the cool diagnoses that get you Xanax) among the wealthy with under-diagnosis among the poor.