A lot of seriously insane people have managed to acquire huge followings based on the idea that their insanity is a kind of enlightenment. An obvious example would be Charles Manson or Shoko Asahara who is the person responsible for the Sarin gas attack on the Tokyo subway.
Sometimes people pick up pet worries that they'll entertain themselves with and that was my big one. So as far as thinking about what that means, one of the definitions of insanity is that you lose your ability to communicate to anybody because your frames of reference have become so different from the rest of the world that you can't communicate anymore.
There's also something that is often mistaken for enlightenment which is a kind of insanity. Often, people will have some kind of weird experience which is quite abnormal and think, "Oh my God, that's it, I understand everything" because they start seeing things in a very weird way and think that's how enlightened people see things as well.
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