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NYX78912
You are not nuts. It is a measurement of the mental health issues in one's life and also the distress someone experiences due to them, and how they are coping with them. Here's the FAQ for Sanity Score. It's worth reading because it explains that it's not about "Worse" and "better" and It does not mean that you are crazy:
Frequently Asked Questions (FAQ) about Your Score - Please read first! Also I scored higher at a more difficult / stressful / symptomatic time in my life, and lower after I'd been through good therapy and had learned the skills to deal with my problems, and found helpful medication. We are all at different places in our life. You're not nuts.