I notice a lot of people use terms like "psychotic" or "psychopath" as insults and negative descriptions on here. These are clinical terms that are used to describe real people with difficulties, not boogeymen! I don't disagree with the sentiment that these people are doing wrong, but if you wouldn't use the r-slur or "autistic" as an insult (which you shouldn't) then you shouldn't use these words either. And I get the idea of calling someone delusional, but take care that you don't just mean "I disagree with them." Though by posting on neurodiverse I imagine I'm preaching to the choir.
Sincerely, a casual schizoaffective disorder haver.
Honestly, this was pre-hexbear for me, I use poop or pee related terms. Like it's used with adolescents and infants. I was pretty proud when I stopped using cr*zy. That one was difficult as it doesn't seem to be problematic compared to the explicitly medical terms which you shared (at least to me).
Oh some years ago I stopped using h*steria after I learned about its targeted usage towards women (sexist) and in an ableist way towards women or girls who acted "out of line".