Lol, there's certainly a fair amount of theatrical emo shit out there.
It would be difficult to paint people suffering from catatonic depression with that brush since they lose the ability to interact with or even perceive the outside world. Literally all that exists for them is themselves. The whole world shrinks to the size of their pain. Or rather, their pain expands to the point of crowding out everything else. Where the diagnosis comes from is rather incidental--a person either has a condition or they don't. Both legit cases and drama queens are self-centered, but my paper-tiger meme notwithstanding, only the latter are assholes. I mean, a person with chronic major depressive disorder with catatonia can still be an asshole, just not because of self-centeredness arising from their condition.