All of this is true, but I do think this "outing" still means something.

My hackernews account here is "anonymous", but not carefully so. I'm sure any dedicated reporter could figure out who I am (I have no pretensions that I would ever merit attention like this). Still, if one decided to out me after I asked them not to AND it didn't even really advance the story, I would indeed feel violated. And I'm not a therapist with patients to consider, I'm an IC FAANG grunt.