Structured tables. One for posts, one for comments, one or more for karma and so on, with appropriately typed columns for each attribute such things have. Alternatively if the data really is unstructured then I'd use a key-value store like Cassandra or something.
(For the record many modern key-value stores didn't exist when the Reddit code was originally written).
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A question I would like advice from others on:
I frequently find myself in a brain-state where my emotions and morals fail to determine my actions in what most people call the 'usual way'. Essentially, at certain times I am "along for the ride", and have no capacity to influence my behavior until the ride has come to a full and complete stop. I assert that this is usually triggered by external stimulus, but I acknowledge, dear reader, that you have no reason to accept that excuse.
What is the correct thing to do in these situations, given that there is no possibility to choose what to do in these situations - and given that others have no reason to accept "sorry about my freak-out, I have PTSD" as anything but a craven attempt to turn bad behavior into a ploy for sympathy?