Yes, I've blocked these assholes. Yes, I've muted these words. Yes, I've defederated from these instances.
But, people keep bringing them into my mentions. They email screenshots like this to me. They keep telling me I have to see it. New assholes show up each day and I have to do it all again.
This is what we mean when we say that the fediverse might not be good for our mental health.