Missing the elephant in the room here. Musk is a druggie. He's known to use at least marijuana and Ambien.[1] Sam Altman was worried about this back in 2017:

"There was Tesla and SpaceX CEO Elon Musk offering this tweet: "A little red wine, vintage record, some Ambien ... and magic!" Naturally, not everyone was moved positively by this apparent form of entertainment. Y Combinator President Sam Altman, for example, worried: 'Ambien tweeting is a dangerous game.'"

[1] https://www.cnet.com/news/elon-musks-strange-strange-ambien-...