[Mz]

"Mental health" outcomes are partly a product of social factors. I have a son who is a sociopath. I pulled him out of school and homeschooled in part to avoid having him be the next Columbine in the news. Kids who are different are often treated so badly they have no reason to cooperate with social norms. It is all downside for them, no upside. My son thinks psychologically tormenting people is funny shit and does not feel bad about it later but he generally refrains. He hasn't been consistently tormented himself, so he doesn't carry a lot of anger or baggage to fuel bad behavior, and I taught him "what goes around, comes around." I don't think these negative outcomes are "inevitable," even with kids who have significant mental and emotional differences from the norm.