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I worked in mental health for years. Some of my most interesting patients were also some of the kindest and most compassionate. One lady was convinced that a famous director was her husband, and had (legit, in her record) walked across five states to accept his psychic wedding proposal. When another patient was in crisis, she was the first one to find us and tell us, and if we weren't there right away, she would sit with them and reassure them until we could make it.
And then there was the dude who had scammed nearly a thousand retirees because he could--and having psychotic delusions was just something on the side.
Being mentally ill is not a precursor for evil. However, Kanye seems to have made it his mission.