Attention seeking behavior in a healthcare environment including faking a medical condition, or intentionally worsening a real condition are pretty glaring symptoms of Munchausens.
So they are acting this way because they are sick, just not in the way you're accustomed to.
The ethical thing to do here is to put them into contact with mental professionals.
They already fucked me on this years ago. One day I logged into Uplay and Battlefield 3 and my 2 other games were just fucking gone. Haven't touched them with a 10 foot pole since.
I've always thought of that as renewal of the self instead of the self dying.
Your personality is based largely upon your human experience.
As you get older and experience more, you have more things from the world around you to use to orient your thoughts and feelings on the world, and because thoughts and feelings are what the human experience is at its basest level, it will change your personality continuously.
I experienced much the same through and up into my mid twenties. I have found that upon reaching my 30's that it does not happen as much, or at least it takes much more thought and feeling to change my personality.
You too will reach a point where you obtain a certain confidence in who you are and what you actually believe in, and after that, you will not experience the feeling of being a different person every couple of years as much.
My advice to you since you recognize this in yourself is to pay attention to it. If you can realize that it is possible you could be a different person in a couple years, who would you want to be? What would make you happy?
Fuck no, I have 4 years of industry experience and my industry is basically falling apart. I haven't been able to find work since March. Even construction labour jobs requiring no experience wont call me back. If I cant make something work soon I might just decide to french kiss an electrical socket.
Update:
I found a job. It does not pay that well but its in my industry and there are great individual liberties that come with the job. It took 18 months, getting EI, running out of EI, and being forced to throw out/sell a bunch of my stuff and rent out my home to overcome this. If I were most other people without the support system I have available to me, I'd be fucking homeless. Fuck the status quo.
The problem is that in its current state, there are inherent flaws which a corporation can abuse to destroy what to a lot of people on it consider to be the purpose of federated social media, which is lack of corporate control.
Consider that a company with the resources of meta could create hundreds of thousands of instances across all federated social media to the degree that you cannot tell what they own and what they don't until it is a statistical likelihood that your account is on a corporation controlled instance.
Consider that existing instances which are privately owned and operated could sell their instance to a corporation and no one would necessarily be any the wiser.
So you are right, in its current form, I do not believe in federated social media for the future, because it has no preventative measures to avoid such a thing outside of hosting your own personal instance, which a lot of people do not have the resources to do.
It won't work. Ever. VPN's free and paid exist, File sharing exists, Torrents exist, AI pornography generators exist, freenet, tor, I2P all exist. There is no action a government could take that would have any true impact in this regard unless they made the use of the internet illegal, and even at that, it would create a black market in which such things could still be purchased as physical media.
All this does is allow government entities to infringe on privacy rights further by doing what they have always done - hiding behind children.
Here's a question, forgive my ignorance. Is there a way to determine ownership of an instance beyond the name of the user account that owns it?
What if meta used their massive amounts of data storage to flood the fediverse with meta-owned instances, making it difficult or impossible to determine what they control and what they do not?
Like some other people here I still use an iPod classic for all the music in my car. Haven't had iTunes installed to change the music on it for 14 years.
I had this happen to someone I mentor and pointed out that they had two versions of the same file in two different paths named the same. They were running the version in the other path than they were editing lol.
Attention seeking behavior in a healthcare environment including faking a medical condition, or intentionally worsening a real condition are pretty glaring symptoms of Munchausens.
So they are acting this way because they are sick, just not in the way you're accustomed to.
The ethical thing to do here is to put them into contact with mental professionals.