Yeah, the sad reality is that creatives often refuse to take their meds. They enjoy the creativity that goes along with their mania, and they feel like the meds kill their creative spark. I can almost guarantee he has been medicated in the past, but now refuses to take any meds because he enjoys being manic.

And being manic isn’t simply being happy and elated… It’s in the same category as schizophrenia, because it causes delusions and breaks with reality. And good luck reasoning with someone when they’re delusional; You can’t reason people out of a mindset that they didn’t reason themselves into.

The dude needs serious help, but he’s still a shit-licking Nazi. His decision to refuse meds is an active choice that he makes every day, and conflating his mental illness with naziism is an insult to everyone who does take their meds and is a well-adjusted member of society.