I claim that is trivial (albeit obnoxious) to dismiss most informal utterances in this way. This is because, for starters, informal language is complex and enthymeme in the extreme -- we don't tend to articulate every e.g. assumption and premise and contextual relation up front in every utterance. Language is messy because the concepts under discussion are complex and messy, and vibes are powerful tools for wrangling that complexity and getting at meaning.
For example: my interpretation of what the parent wrote was something like "the 'making stupid mistakes' line is a strong signal of neurodivergence, and unfortunately is harsh and self-critical. so they should be weary of comments on HN, since there is a strong likelihood of being led down an unhelpful path that might aggravate this self-talk, especially given the harsh self-talk and what we know about the subcultures that frequent this place, which are not a uniform random sample of humanity".
Speaking of unarticulated contextual relations, "I often make careless mistakes" is literally in the DSM-V as a diagnostic criterion for ADHD.
I am part of project that offers food and resources to unhoused people outside the usual state and regulated private agencies and without conditions. So by that fact I see many people who the mental health system fails to help for one reason or another. I can't tell you what percentage of people that is but I can tell you it's more than zero percent. I have no advice about what works but I can't see what's wrong with creating a structure that could help you.