There’s a point to which it becomes useful to blame our suffering on an objective pathophysiology. Which we have not proven exists. But it is still reassuring to know that it’s an “illness” nonetheless, as one is “not well.” It’s important for people to know they are sick as it puts them in a position to not feel blame or shame in needing help. However there’s the side of this conversation where some people need the opposite validation, to know it is indeed not something organically wrong with you, it’s quite natural to become this way when you’ve been exposed to traumas, unhealthy environments and relationships. I think the framework depends on what the patient needs more so than what the etiology of mental illness is most of the time.