Words aren't bad in and of themselves, usually. For one, "psychopath" freely translates to "suffering soul" but you could also do "mind in disease". Neither sound too insulting, per se, do they?

You'll alway have euphemisms and if there's a difference that can be noted, then usually the people's who differ from the norm will be called something "bad".

Take left-handed people. Sinister. That's where the word comes from. "Sinister" as in the Latin word for "left".

Then we'll just end up on the

https://en.m.wikipedia.org/wiki/Euphemism#Euphemism_treadmill

Why care about what words someone uses if you know you have better ones yourself? It's the intent behind the words that most often matters. To neurotypicals, anyway.