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Short of something fundamentally changing my personality, I'm absolutely certain that I would never do the things he does.

>Short of something fundamentally changing my personality,

Something like... a mental illness?

Almost as if his mental health (or lack thereof) has fundamentally changed his personality.

His rise to fame is largely predicated on that personality and has been present for over a decade?

Maybe it is a result of mental health issues. But then the premise of his success feels very different.