For example, many of the issues that you mentioned (anxiety, depression, etc) are symptoms that can have wildly varying causes. It's similar to, say, a fever: if you have a fever it can be completely different reason than what causes it for someone else: one can develop a fever from an infection, or from stress alone - so a psychosomatic cause. It's even possible to have chronic fever due to brain damage! It has to be evaluated on a case-by-case basis