What most people don't realize is that it isn't "mental toughness" that is required, but relaxation and knowledge that we have the ability to deal with these situations. It has to do more with being comfortable in the water, and any thought of "toughness." It seems that we are allowing people into scuba who simply are not comfortable with being underwater, or even in the water. That means that with a simple problem, they are pushed over the edge mentally.
When I took my first scuba course, I had already been diving three years. I had been a member of the North Salem High School swim team. I had gone through the YMCA Lifeguard training. I had been snorkeling since I was in grade school. We no longer see many of these types of people coming into scuba diving.
I remember having to do a "jellyfish float" on the surface for 10 minutes during my YMCA lifeguard training. It got boring, to the point where I experimented with capturing a bubble in my eye socket (we had no goggles at that time, nor a face mask) so as to be able to see clearly through one eye. We could only capture a bubble under one eye, as if we moved our face more to get both eyes, one bubble would be lost. I mention this to simply show how comfortable we were in the water, face down, holding our breath for 30 to 45 seconds before raising our head to get a new breath, and doing that for a full ten minutes.
I feel it is a fallacy to say that the ability to perform in the water was "mental toughness." Rather, it has to do with being relaxed in the water, and thinking through different problems. I had to do that last summer, when my tank slipped out of a new (to me) BCD harness while I was diving. Here's the video I made of how that happened, and how I resolved the problem.
SeaRat