You couldn't include the community standards of HN. We often speculatively diagnose mental illness based on disorganized reasoning and bizarre arguments. See for example the recent submission of a mathematics site where a fair portion of the discussion was about whether the author might suffer from paranoid schizophrenia.

I don't know why we feel fine publicly speculating about the mental health of people who seem to be clearly suffering in some way, but in a case where the odds are in favor of intentional trolling the topic becomes taboo.