[gobengo]

> At what point do we consider this a mental illness

usually when the patient complains or harms someone else, and not before

[hosh]

Yeah. That indicates "mental illness" is not about the mental well-being of the person, but how much negative societal impact that person has with the people around them.

[hinkley]

The old line about crazy people not worrying if they're crazy is not entirely accurate but a lack of self-reflection on your mental state is a pretty big givaway.