> as long as you can accept help
What help? Society simple does not care about 49% of people, like at all! There are no shelters for abuse and violence victims, no support groups...
If you speak up or seek help, there is good chance society or abuser retaliates aganst you! You may endup in prison, homeless, or out of job. Or lose your kids!
> but reject a diagnosis
often that means months on strong medication, that makes things much worse. And if that does not work, oopsie, lets "try" another diagnosis. No compensation for the hell, from doctor who caused it, of course!