It can be both. Can't put aside the effects of his mental struggles when he's open about it and all the pills etc, but i'm not going to use that to dismiss what he says completely. Having mental issues doesn't invalidate responsibility for your opinions, it's not like son has extreme versions of mental illness.
In my opinion, we should reevaluate the effects of mental illness on someone's thoughts and opinions. I also think Kanye's mental illness has progressed to be severe and is detrimental to him and those around him.
If Kanye was diagnosed properly, then it is his responsibility to take care of himself. But, what if the mental illness has progressed so much, he can't logically think to the point he has a lack of insight and awareness on his health?
Think of mental illness just like a physical illness. It spreads and is progressive in your brain the longer you don't care for it properly. It affects your neurons, your chemistry, your hormones, your cognitive thinking, etc. It even disregulates your feelings/emotions to the point they are inflated and overreactive. So of course you become to think and act different.
A mental illness will change you as you completely lose your sense of self. As you lose your normal "baseline" and you become what is act out of your original character. Imagine all this with a side effect like psychosis. You add drugs to the mix and it's in overdrive.
So Kanye has morphed into something not even real to him. He has completely lost his sense of self. He is completely out of touch with his reality. His current weird and quacky thoughts, perceptions and behaviour are his sickness and not the real him. He's become what his sickness is in his head.
But I agree that it is his responsibility to get help. I am wondering if if he's refusing to get help or the Kardashians are letting him self destruct on purpose for their own interests?
This is scary y'all. Seems like he's got nothing to lose and he did say on Twitter he needs to get rid of everything. Signs of suicidal tendencies. We know he has thought of suicide years ago after his mother's death.
Why are the Kardashians letting him run wild? There's something going on. They hospitalized him and forced him into 5150 involuntary hold back in November 2016. Why not now?