I do not want to diminish the importance of your perspective in any way, only to add that some in the #1 camp are teetering on the brink of "able to take care of self" and not withholding help to be cruel, but because they think helping might pull them over the cliff, too.
Wellness has big steps sometimes, and if you tumble down a step it may take a long time to get back up, and your ability to help yourself, and anyone else, will be diminished.
I know. I do not blame people. At least not for that.
What I blame people for is shaming, infantilizing, and treating people who struggle like nutjobs worthy only of ostracization for "refusing to accept help".
Acting "whiny" is almost universally seen as extremely repulsive, and nobody would act this way if they weren't genuinely helpless - whether perpetually or only in the moment.
> nobody would act this way if they weren't genuinely helpless
That seems like too much of a generalisation. The issues you describe are real and that is not diminished by the fact that some people operate differently from what you imagine makes sense.
I do want to diminish the importance of GP's perspective. It's a lazy and tired answer to the problem, and quite frankly - Offers a direct confirmation of the top level post's point rather than a refutation. "unmedicated ADHD and chronic fatigue"? Really? They're a nutjob. How has discourse gotten to the point where we're all so afraid of hurting the feelings of the fringe that we can't point out the obvious? Being dismissive is precisely what we should be doing.
Personal attacks will get you banned here. So will taking HN threads into hellish flamewar and then fueling it further. You can make your substantive points without doing either of those things.
If you'd please review https://news.ycombinator.com/newsguidelines.html and stick to the rules when posting here, we'd appreciate it. We've had to ask you about this kind of thing more than once before.
Wellness has big steps sometimes, and if you tumble down a step it may take a long time to get back up, and your ability to help yourself, and anyone else, will be diminished.