There are literally very few people who truly, altruistically care about one's state, physical or mental. Most people only care because they are looking for some kind of validation in themselves, either in the condescending sort of way, or as a type of virtue signalling.
It is not possible for any one to know the intentions of another person when that other person demonstrates some semblence of caring for one.
Only God knows the intentions of His creations. We, as mere mortals, cannot know with certainty what another person is truly thinking.
So, the best thing that we can do (since God these days is usually silent on questions that demand an immediate answer that can be answered via trivalue logic) is to accept the demonstration of care at face value, and react accordingly, unless there has been a consistent demonstration of consistency in the said attitude that increases the confidence that we have that the person in question is indeed of pure intentions, in which case the superficial acceptance can be evolved to something stronger.
But the increase in confidence is never reaching 100%---we can never know anyone 100%, whether they are our parents, spouse, children, friends, or enemies, for the simple reason that no one knows themselves that thoroughly either.
For to know oneself thoroughly is to know immediately the reaction that one would take given any circumstance. Unfortunately, most action is reactionary, and thus cannot be known before hand---the best is that we can bound it stochastically. While God knows what entire outcomes ought to be, His knowledge cannot be represented to us in a form that will not drive us insane---it takes a mind as complex as that of God's to really understand what He understands. Our best tool for understanding God's will is that of a probability distribution over the set of states that we can construct within a finite amount of time.
A low probability event is not a no-probability event---it can and sometimes do occur. And when they do occur, they get memorialised due to confirmation bias, which further skews the actual probability of the event.
Thus, the altruistic nature of a person's concern and care is a random variable whose bounds may be inferred indirectly through the number of such interactions with the said person. One may build greater confidence that another is pure in intentions to help, but one can never be absolutely certain.
Does this mean that one ought to completely wall up? No, that is not possible nor is it safe. Until the day comes in which we are called back to the Lord, we sinners are all stuck in this world. While flawed, there are times where some people are truly as good as it gets in intention of care and concern---we need to learn to trust that.
If we cannot even do that, then we might as well kill off society and civilisation all together as soon as we can, because there is simply no way for society to exist without any type of trust.
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"Trust when you don't really need to trust, but don't trust much more than what you need"
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