I'm sure there's a real effect here, but it's hard to determine the magnitude of the effect when they fail to distinguish between diagnosis vs. actuality. How m

I'm sure there's a real effect here, but it's hard to determine the magnitude of the effect when they fail to distinguish between diagnosis vs. actuality. How many people reporting excellent mental health really are OK? How many are just suppressing their problems, or aren't even the most affected by those problems (e.g. dark-triad folks who will never seek therapy on their own)? On the flip side, how many are catastrophizing, treating every-day things as problems requiring professional help and/or medication? How many then, and how many now? Without knowing those answers, we can't really tell how big the problem is. This has definitely been a problem with autism and ADHD diagnoses over the years. There's no reason to suppose it isn't also true e.g. with depression diagnoses.