This poisons the entire well. I don't think the issue is that ~5% of the population is insane. I think the issue is social media has every reason in the world to find that 5% and give them the largest megaphone possible, up to and including TikTok's model of outright paying them for their insanity. The fact that the agent mediating all this intimacy as put by the author is inclined to do this, to shove the insane person in front of as many people as possible because they will readily cause reactions and further engagement with their product, makes it impossible to ignore them, nor to ignore the subsequent consequences of them being shoved in front of so many other people.
I've said it before and I'll say it again: social media cannot be a profit-driven industry. It simply cannot. The incentives for what makes a good, healthy, useful social media apparatus and the incentives that make it profitable to industry are two circles, with MAYBE 2% overlap in the middle on a good day.