In some people it causes the body to releases enough internal happy drugs that it is worth the discomfort.

I am not sure it will actually end when he is dead. It’s not like he’s doing all this stuff alone, there are others behind him ready to pick up where he left things off when he finally dies.

The solution is pretty simple: Never, under any circumstances, post anything under your actual real identity online.

Doesn’t matter how good the fuzzy linking of disconnected accounts is if none of them tells the attacker anything actionable about the real person behind them.

https://matrix.org/ has been around for years and has had true self-hosting and federation from the start.