@freemo it mostly comes down to the circumstances they live in. What they do, what their local communities expect.
Consider something more clear-cut and outside of mental health: myopia, near-sightedness. A condition with which one's eyes have a much closer focal range, meaning they see things worse from afar, but also better up close. Not just as close as people without it — even closer. Meaning that with a comparable retina a myopic can clearly discern much finer details. Kind of a superpower, right? If they do lots of work on a tiny scale it would seem like it.
And yet, street signs, menu posters in restaurants, numbers on the public transport and tons of other things are a lot harder to see, to the point of them being entirely nonfunctional, which reflects on the user – forcing unto them alternatives or aids (glasses, smartphones and their cameras, other people) through difficulties integrating into society.
Different lifestyles have different compositions of these components.
freemo