Personally I'm not smart enough or know enough about mental illnesses to even begin to make decision on that.I do have a strong feeling though how torn he is inside .I think it takes a lot of effort to convince himself that he is the most intelligent,most devastating good looking human on earth that deserves so much happiness but then he never feels he is good enough and longs to be someone completely different,I think that shows by how he creates all these different sock puppets ,some of them glorifying himself,others condemning himself.I think he hates us all because he feels it is us ,all of us ,that make him feel not good enough for the fame and fortune and admiration he feels he deserves,I think he kind of threw that in our face by showing us if we can't love him for being good we did make him famous for being disgustingly evil.I think that will validate in his mind that we are the sick ones and not him.