The alt social media are a good place to run away from algorithms and explicit mass manipulation from other big tech, be more free, independent, and spread ideas, but I also think that the fediverse is being filling with people with radical political ideologies, some kicked out of traditional social platforms for this same reason. I’m not saying that we can’t have discussions, but I think that many people are making their own echo Chambers in the fediverse.
While I understand this user was being inflammatory and gross, “I hope you get the mental health attention you so clearly require.” Is not the best way to tell someone they need help. Not saying you are wrong about the user though.