While centering individual responsibility and calling out the weird dynamic where people unnecessarily embrace a personal narrative previously associated with debilitating conditions to feel a sense of belonging is refreshing, this is a heavy lift.
This sounds like absolute bullshit since the increase in diagnosis is consistent across the OECD, and most other countries that see this trend have absolute no financial incentive in their healthcare systems to overdiagnosis these disorders. Much the contrary, singlepayer public healthcare systems have the exact opposite incentive: do not diagnose since it will be costlier over the life of a citizen to manage these ailments.
As usual with Cato "scholars", it's more writing to justify their libertarian political agenda rather than actual honest analysis.