If you're neurotic, anxious, have social anxiety for example, then women hate you by default. Women approach handsome men regardless of their mental health status or how neurotic they are, but if you are average or ugly then you as a man have to do the hard work. If you're not neurotypical and you have anxiety, then women will judge you as unfuckable.
Basically: if you're insecure because no women have ever found you attractive, you're unfuckable. Because for whatever reason being anxious as a man makes you unattractive.
Then again the guys who are 80 IQ, retarded, hubby schlubby oofy doofy guys with supplicating personalities, who don't care about getting rejected, they get women simply from the fact that they approach so many women. And eventually some woman becomes socially accommodated to him and and maybe starts finding him a little bit attractive because of familiarity. Spend enough time with someone, there'll be some attraction maybe eventually. There's no guarantee of it but it can happen.
That's not going to happen to ugly men though with mental health issues. That's not happening to guys who have social anxiety. A handsome man or a woman (her looks don't matter) can have any amount of mental health issues and that won't prevent them from finding a partner. Doesn't matter whether they have schizophrenia, social anxiety, BPD, bipolar disorder, generalized anxiety disorder...
But if you're a guy with anxiety then how are you supposed to meet women? And if you meet women when you are anxious, these women will be repulsed by you. Women hate ugly men, but they also hate men with mental health disorders, especially if it has anything to do with depression and anxiety. A man with panic disorder is not even a man in womens eyes. They think he's an unattractive dweeb