One of the big issues with these distress-based diagnosis metrics is that it fails to diagnose people whose social environments are particularly well suited for

One of the big issues with these distress-based diagnosis metrics is that it fails to diagnose people whose social environments are particularly well suited for their mental health issues. If an autistic child has parents who manage their sensory sensitivities and work well with their communicative difficulties, the system sees a child who isn't experiencing a lot of the distress-based symptoms used to diagnose autism. So like, your gold standard diagnosis ends up depending a lot on the organizational and attention demands the patient is required to meet. A business analyst who is required to sit at a desk for eight hours a day and pay attention to boring numbers on a business spreadsheet is much more likely to get diagnosed with ADHD, while a barber that hangs out and does short haircuts while interacting with clients is much less likely to merit such diagnosis.