Fuck them, deport their asses to Mexico if they can't give up a few feet of land.
DSM-5 they were saying anyone can be diagnosed under it when it came out. I know this from being a gun guy, not a psychanon
https://www.healthline.com/health-news/mental-is-anyone-normal-under-new-dsm-criteria-051813#1
That is a congressional fight, it's treated as a tax issue as opposed to an environmental one.