The bit about the race-faker is hilarious, I hadn't heard that one.
I get the sense from 70s discourse, films that psychoanalysis was a status symbol then. But for whatever reason, it doesn't feel that way to me now.
When I moved to New York from small town California one of the most striking things was that every girl I knew was either prescribed antidepressants + benzos, or else abused xannies recreationally. Often with copious drinking. If you know anything about drug combinations, these do not mix well. Frequent blackouts, reckless decision-making, unprotected sex. These were often the same girls that wanted to be hit and choked during their anonymous Tinder hookups. I found it really bleak and sad. They didn't know what they wanted; they didn't understand the structure of their desires; they found themselves constantly slipping into gender roles that bred self-contempt; they found themselves subsidizing behaviors that hurt them, etc.
Often, they have bad enough judgment / are confused enough that their relationships with their therapists become quite power-laden and problematic. They're advised to end relationships or cut out family members.
There's also a class of sensitive boy I know who has been fairly guarded his whole life, and sincerely wants to explore his emotions and his relationship to his parents or whatever. They aren't especially troubled; by most standards, well-adjusted; but they make good tech salaries and can easily afford it, and are curious, and end up find it rewarding for a time.