It is past time to admit people who believe they are something they are not are seriously mentally ill. They belong in mental institutions.
There are so few people who don't belong in a mental institution.
Your best hope is to get people to self-identify what mental problems they have so you can act accordingly.
Just among the numbers that show it outwardly; look at all those self-medicating with overeating or illicit drugs. Look at all those with body-altering surgery, piercings, tattoos, under-skin implants, etc.
