Neat thing is, you can just join another instance, or even setup your own. Instance admins can and already do defederate entirely from other instances, you won’t ever be able to see that content without leaving the site. Hiding on the other hand means you can still see it if you subscribe to it, they just aren’t having it show up on the default feed. This should result in less severe action, like defederation, it’s a great improvement. Downside exists, but it comes with more upside. Join an instance that appears to align with your ideals and you will get the benefit of a feed that allows for content discovery. NSFW content discovery is probably better done on an NSFW centric instance anyway.
If you are trying to compare this system to something like Reddit, lamenting the added effort of picking an instance and needing to move around sometimes, this is just one of those things people need to accept and start pushing for changes that make the process easier. The alternative is going back to big tech and eating whatever shit they decide to serve.
Eventually the science will show ADHD and a slew of other ND psychoclassifications are entirely genetic. It’s very likely one of your parents are driving the same brain around as you, with all its faults and strengths. In their childhood psych didn’t have the labels and treatments, you didn’t really want to mess with those abusers. Society also found it ok to beat children that didn’t behave. The parent with the ND brain was probably beat by their parent until they figured out how to wear the right mask. And not just beaten by their parents, but every single authority figure, teachers, pastors, etc. The cycle of physical abuse was only recently broken. We still haven’t broken the cycle of emotional abuse this society forces on ND people. The majority of psych pseudoscience still ongoing considers ND to be subhuman, excluding us from studies, using derogatory language that only serves to dehumanize and not empathize, recognize, and accommodate. They fail to recognize the positive aspects that are unique and common amongst ND, so we end up not even realizing in ourselves. In your parent’s generation they’d treat perfectly capable ND people with a lobotomy. There are probably more psych professionals practicing today that were taught by books written by the same folks who practiced lobotomies, than those that learned the still incorrect (but at least more correct than a fucking lobotomy fixes everything) science from 10 years ago.
Sorry for the rant.