Yes, I don't think the person on twitter understands or cares about that with respect to whether DID involves meds

I only read it as criticism of women for wearing makeup because its an extremely common line of joke where the butt of the joke is generally that women are dishonest about how they look because their makeup changes their appearance. Sometimes the negativity is explicit, sometimes it is implied. And that generally makes me uncomfortable with people joking about that kind of thing. Whereas glasses giving you a different appearance never gets wielded to attack women.

Were the elements that could be interpreted uncharitably not all combined here (joking about both makeup and also mental illness), and were the context an individual scale interaction rather than the interaction being turned into a meme for mass appeal at scale I might be inclined to interpret more charitably. But the former makes it feel more malicious and the later makes it feel more important that it not be harmful.

My point isnt about whether its a shitpost, thats what your point is about.

Mine is that shitposting by literally just posting marginal sexist boomer memes is dumb and theres literally no joy in that. Its a sad and lame way to shitpost. The joy in shitposting is the absurdity. This isnt even a bad enough to be enjoyable for it's absurdly bad quality. This belongs next to your wine-mom aunt talking about how much she wants to drink wine, displayed as text over an ai generated minion

Theres no irony in it. Theres not playfulness in it. Its just a meme that circlejerks about how much the poster thinks "woman bad". My grandpa with shitty takes on the world would unironically enjoy this meme.