The term neurasthenia was broadly used in the nineteenth century in England, at least. A very large number of women, especially, even at very young ages simply stayed in bed all day for years, that is, those of a class that were able to live with families and not be required to do any work. Why did they stay in bed. They just felt too anxious and unhappy to do anything else. One wonders if these people just followed a path of least resistance or if they had some medical problem.
One wonders if today many mental health diagnoses are given when patients simply follow a path of least resistance. When family members or friends find them acting differently, they pressure them to go to medical care. If these people or their family or friends pressure the medical system for a diagnosis and some kind of program for them, they are given a term that fits in some loose way.
In short, there is nothing objective to help sort out behavioral maladies.
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