People do wierd shit to find attention and self validation, especially teenagers.
And yes, inventing random conditions or misidentifying with various exsisting ones, makes it harder for the people that actually suffer from depression, identity disorders, mental illnesses etc. or have one of the rarer sexual orientations.
Since these 'fakers' are seeking attention they tend to get it though and that helps painting a false picture about what people with these conditions really go though day to day, in the public concience.
The sad thing is, if you go to these lenghs to seek attention, you likely do have issues. Maybe not severe ones, but nevertheless ones that could be helped. But they're preventing themselves from getting help and healthy amounts and kinds of attentention by creating these intricate personas.
It reminds me of people who go through extreme amounts of effort to keep up this shiny fake fassade and be 'popular', but they're still not happy because they're hiding who they really are. This in turn makes them spend more effort on their personas. All the while avoiding to deal with whatever their real issue is.
I feel like these otherkins people are sort of on the other extreme end of the spectrum, but what they're doing is similar.
All in all, since no one seems to take them all that seriously I don't think they're doing massive amounts of damage.
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