Lead exposure from car exhaust in the 20th century caused up to 151 million cases of mental health disorders in Americans, with those born before 1996, especially in the 1960s-70s, at risk. Leaded gas use altered mental health, increasing depression, anxiety, and ADHD rates, and likely impacted personality and life success. The study, published in the Journal of Child Psychology and Psychiatry, highlights the long-term effects of historical lead exposure.