It is when a person is depressed and may have anxiety about getting likes. In other words, if he has not enough likes or comments, he is probably being disappointed. However, likes are only a temporary joy that leaves us empty without it.
Mental dilemma, I think has a connection with our addiction to social media. It is the idea that for instance if you don’t take many likes in something you post, something is wrong with you so we start depressing.
I believe that Mental Health Dilemma is when people focus too much on social media approval that beyond a certain level they may get addicted to receiving repeatedly likes and positive comments. However, when they stop getting likes on their posts they get depressed.