My interpretation is that he's too shy to ask for help. Most manic depressants are just that, depressed, they hide in their hole and someone has to dig them out (possibly themselves).

Posting self-loathing material is subtle for someone to come along and pick up their shoulders. They know what they're doing is unhealthy or irregular but won't outright admit it because it shows weakness. "My life sucks but I march on and continue to produce acceptable deliverables" is a pride thing.

tl;dr - start slowly, admit that you can improve your life and STILL churn out those code snippets and you'll find yourself happier!

I'm going with "lost track of perspective" here. I've heard the same tune too many times to keep thinking that all those people are really very good dead-pan comedians.

Yes, but if its NOT a joke, am I a bad person for laughing?