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I still think this is a overall net increase. The stigma wasn't preventing people from getting diagnosed and treated

Zoloft was Pfizer's second best selling drug during most of the 90s. So people were still going to get diagnosed and treated despite the stigma. They just wouldn't tell anyone about it, other than their therapist.

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The diagnosis of "hysteria" dropped by two thirds in the mid twentieth century with the diagnosis of "depression" replacing it. People may well have been going to the doctor, but they were not necessarily being diagnosed with the conditions we now associate with their symptoms.

To your final paragraph, that also highlights the flaws in Gallup style polling. Even if people were being diagnosed in equal number, it doesn't mean they would admit to it in a poll.

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