This is largely what I see as well. People who under any definition would largely fit under the umbrella of “normal” but got a diagnosis of autism, adhd, bipolar, etc. and use it as an excuse to shirk basic responsibilities. And I think this further stigmatizes the problem for people further down the tails of the spectrum who really do need assistance. In some of these mild cases its even been a parent who pushed for the diagnosis when the child was young simply to get them medicated and become less of a hassle. I often think especially with fuzzy definitions like an arbitrary point on a spectrum of behavior of normal on one side and pathological on the other ends up being interpreted universally wrongly for whatever purpose best suits the patient. Largely the same vibe as conversations about xenogender and stuff, labels can have negative utility. It also starts to set some really horrific logic in place for normalizing the use of mood stabilizers/adderall which is an implicit acceptance that the world is immutable and we must change to meet its needs rather than pushing against the ever encroaching walls the rich are erecting around us. I actually do expect people to suffer alongside me striving for a better future… and if you medicate yourself into a complacent coma, whether it be through weed/alcohol/adderall, I will hold it against you. But I also acknowledge that the root cause is a system we’ve created that is so hostile to humanity it requires medication to simply exist.
That’s part of what I was trying to get at with the second half of my comment. Forcing yourself to appear normal masks reality, pushes the definition of normal further towards homogeneity, reinforces the need for everyone to be medicated to accept reality. But I also think there is a problem with your definition of normal: literally everyone, even the genuinely happiest person alive, is filled to the brim with fear/uncertainty/doubt–that is literally life and its a choice to be happy and make positive connection with people in spite of the nihilism underneath existence. That isn’t something to medicate away, in some philosophical interpretations its the entire point of life. It’s a lifelong project to learn how to deal with these feelings, they tell us when there’s a problem that we need to spend energy to fix, they should be embraced. But I also recognize that the way things “ought” to be is not the same as what’s required to achieve that end result. If you need to medicate in order to help bring about a better future where you wouldn’t need medication… so be it.