In my country (not US), I’ve been given a summons by the court in order to appear for Jury Duty (and of course it’s mandatory to show up on the appointed date), but I have Autism (makes it difficult for me to interact with strangers and have distrust towards the authorities). I was last diagnosed when I was around 15 years old whilst the first was since 7.
The only thing I have that somewhat counts as medical proof as a psychological assessment on paper confirming I have Autism (as in on the spectrum) back when I was in 9th grade. Even if I waited through the jury panel, and for some reason the lawyer/s decided I should become a juror (despite not wanting to for medical reasons), could I use that as evidence?
However, will the judge accept that even though it’s an confirmed medical diagnosis from when I was a teen after pleading my case as to why I am ineligible to serve (difficulty on interacting with others, difficulties with understanding social cues or heightened anxiety), although even if excused: will that be considered permanent or temporary?


Its depends on the court. Try it and see.
But generally you need to make a case that attending Jury Duty will cause an undue hardship, or similar wording. Mental anguish, panic attacks, and things of that nature can definitely be included in that. The court should have instructions for filing a request to be excused and what specifically you need to submit. If they require a doctor’s note, then it may or may not be good enough to have your primary doctor write that. It’s really not a set in stone thing of what specific things are excuses and it’s up to the state, county, city, etc., to created those policies for their jurisdiction.