There is no "mental health", other than in the eye of the introspector. What exists in objective reality, is the successful or unsuccessful performing of the assigned social role.
When you fail to fulfill your role, or when you consciously reject it, or when society simply has no role to offer you, the world around you begins to fall apart, and you find your mind adapting to the raw, unfiltered, unconditioned chaos that surrounds you in every unpredictable moment.
It's called madness. It's a natural response that a human has to the falling away of social bonds. One would like to believe that pre-industrial, non-totalizing societies knew a thing or two about the workings of that particular stable configuration of the human mind, and what role it can be made to fulfill in the collective "organism" of the community.
Our society, on the other hand, well... it simply blames you for being a "no good" person, and puts all the responsibility on you while robbing you of all power to resolve your situation. Because it's better that way - for everyone else, but you, the very person whose fault it most certainly isn't. Which is, fundamentally, unjust. But what can one do - we're all taught in childhood that "life's not fair", so that's exactly the kind of life we end up setting up for each other.
(FWIW, of those three "pathways", the only one I've personally witnessed to accomplish anything at all is the one that's the least socially accepted. We do remain, after all, subject to the pressures of natural selection. Sapienti sat.)
"Therapy" and "going to therapy" are actually two different things. I don't read this as someone putting in the work, I read this as someone attempting to check the right boxes, and life simply does not work that way.
When you fail to fulfill your role, or when you consciously reject it, or when society simply has no role to offer you, the world around you begins to fall apart, and you find your mind adapting to the raw, unfiltered, unconditioned chaos that surrounds you in every unpredictable moment.
It's called madness. It's a natural response that a human has to the falling away of social bonds. One would like to believe that pre-industrial, non-totalizing societies knew a thing or two about the workings of that particular stable configuration of the human mind, and what role it can be made to fulfill in the collective "organism" of the community.
Our society, on the other hand, well... it simply blames you for being a "no good" person, and puts all the responsibility on you while robbing you of all power to resolve your situation. Because it's better that way - for everyone else, but you, the very person whose fault it most certainly isn't. Which is, fundamentally, unjust. But what can one do - we're all taught in childhood that "life's not fair", so that's exactly the kind of life we end up setting up for each other.
(FWIW, of those three "pathways", the only one I've personally witnessed to accomplish anything at all is the one that's the least socially accepted. We do remain, after all, subject to the pressures of natural selection. Sapienti sat.)