Take for example ADHD. How can a psychologist tell the difference between someone who’s just super hyper and someone who has ADHD?
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As others have said, it’s based on whether it interferes with your day to day life, that does mean that the diagnosis can be a bit subjective and context dependent, but that’s by design. No one can really tell you the “correct” way to live your life, if you like being ultra-hyper and you can find a way to get it to function within your life then great! It’s not a psychologists job to tell you who to be, but to help you if you want to change.
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