So we can have real physical inuries but they aren’t real if they are psychological injuries. Is this simply because to you an injury has to have a physical aspect to it. If this is the case then there is ample research showing physical changes to the hippocampus and the amygdala in those with psychological damage for which injury is a better term. Pretend implies psychological injuries are not real which takes us back to the fantasy of chemical imbalance. There is significant bias against people with mental health challenges and this expression “pretend” continues that. The only pretend that exists is the Chemical Imbalance theory which has been disproven by research and comprehensively disproven but it is clung to with all the fervour of ship wreck victims clinging to flotsam to save themselves from drowning.