@infogab The individuals I'm speaking to tend to actually be actively resistant to seeking professional help because they build identities around having that particular disorder, which they use to accumulate social capital, so they would be at direct risk of losing social credit if they sought professional assistance and had that identity invalidated by the actual diagnosis, if there is one.  There's some interesting social psychology going on there no doubt, but better minds than I have likely studied it in more detail than I have.