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Mostly medical things but sometimes social things. The social things come to mind first. People have a very strict definition of honest behavior that they often don't realize is culturally contained, even less so if one was like me and situationally locked into reinventing the wheel. And among the things that are both social and medical as well as play into this is hypergraphia. Hypergraphia is the instinct to express oneself a lot with physical manifestations of what you're trying to convey, such as what you see. It does not go away, the word choice is not to make me "look smart", and even if I were to explain things with less words, since I would therefore be packing in more meaning in each word, everyone just ends up complaining I'm being too vague. Exposure to such things where people assume intentions based on habit and don't judge based on character may be the inspiration to victims giving so much benefit of the doubt and an adherence to structure. Which is ridiculed of course.
Another thing is asexuality is a surprisingly difficult thing to explain to people. You would think it wouldn't be hard to explain that, due to the biological laws of cause and effect, certain impulses would be easy to explain to others, but it's not. You have times where it's either downplayed, undermined, exaggerated, or invalidated. People say "oh that exists" or "can you even feel love" or "how can you have a libido if you're asexual" or "forget your asexuality, for the sake of the collective".
Anhedonia is a similarly difficult one to explain. Some even connect it to the asexuality. The psychiatrists I've met even jump when you say you're asexual because they see it as a symptom of depression. I was like this for as long as I remember, it's not related to depression or my anhedonia. Similarly, anhedonia is not always related to depression. They have different causes. Anhedonia also doesn't mean you can't act with emotion, it just means it's strictly intuitive based on memory.