Ceteris paribus, people with the time and money for long-term talk therapy have fewer problems than those who lack the time and money. If you can afford this sort of thing you are better off than most right there. However, ceteris paribus is an unreasonably large condition. Actually, it's laughable. Who says other things should be equal?
People who get into the middle and upper classes through intelligence and hard work are a special breed, and other upper-middle-class people are descended from those who got there through intelligence and hard work. Intelligence, conscientiousness, and hard work are related to psychological dimensions that, if magnified enough, can change from virtues into vices. A lot of modern neuroses look like some sort of unfortunate exaggeration of a social/psychological virtue:
- Systematic, rule-based thinking blends into autism.
- Conscientiousness and attention to detail blends into obsessive-compulsive disorder.
- High energy blends into hyperactivity.
- Intense attention to interests blends into over-focused ADD.
- Monogamy and romantic love blends into love-shyness.
Perhaps the large number of people in psychotherapy is a result of the same kind of class sorting that Charles Murray is always talking about. I have no real angle on helping people with these conditions, and I'm aware that a lot of alt-rightists deny their existence.
I do think that we'd all be helped in understanding the conditions that are distortions of virtues if we could keep straight what is virtue and what is vice. It's no good recognizing that autism can be understood not as a disease but as an extremely male thought pattern, if male thought patterns have already been effectively demonized. Leftism is as big a barrier to understanding psychology as it is to understanding sociology and economics.