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I have had the fortune to have not run into those who try to use it when they do not have it, luckily.
Because I'm not going to the doctor to get an "official diagnosis" for something that I know I have.
Why not, you ask?
Because aside from the crippling anxiety that makes it almost impossible to talk to my doctor about these things, I'm not willing to. I don't want my mental illness to be on my records, because I don't want future employers and colleges to look at them and make judgements because of them. And no, that shouldn't happen, but until the stigma dies down or completely disappears, I don't want to be diagnosed.
Other than that, there's many reasons why someone can't be diagnosed. Like me, they may be too anxious to speak to a professional, they may not have access if they're younger or live in a rural area, they may not have the money to visit a professional, etc.
There's a lot of people who, if they hadn't diagnosed themselves first, would never have been diagnosed. A lot of people spend months, if not years, looking up these things up before they reach a conclusion.
Yes, it's always best to get a proper diagnosis from someone who is qualified to do so, but the whole "You don't have it unless you've been diagnosed" is really close minded.
And I wouldn't be surprised if I had it, considering my father and grandmother have had it, so...