[dimal]

All DSM disorders are just clusters of symptoms that a board of psychiatrists decided were disorders. They are no more or less real than any other mental phenomena that the APA board decided weren’t “disorders”.

And if what you say is simply a choice, why do some people struggle with it? Maybe for person A it’s easy, but for person B it’s exceedingly difficult. It could be because of inborn traits or their upbringing or any number of other things, but for some people, making the “choice” doesn’t stick. The mind keeps going back to its old processes, regardless of the conscious choice that was made.

People need to stop assuming that everyone else’s brain works the same as their own. Everyone is different. Neurodiversity is a thing.