This reminds me of actors or entertainers who clearly are going through a manic phase that is veering towards psychosis or a crash.

Sometimes leave Britney alone means actually leave her alone.

What about the "circus freaks" that get funding, influencers that maintain audience support, or those who get elected to office?

I don't understand how to tell the difference, other than what society and the media collectively judges to be genius versus disordered, and where the money accrues.

The people and their personalities are not all that different, other than how palatable/sellable they are.

That's not to say this isn't a real problem; I think the scale of it is much larger than people realize, because society often sees these same personality disorders as something to be rewarded.