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He's most likely stuck in an upper downer cycle like Michael Jackson and countless others. Dose yourself to unconscious, then stimulate to get your brain going again in the morning (or well whenever you wake up) and hit more uppers to stave off the crash from the first uppers, BUT you need to sleep eventually so hit the downers harder to drown out the stims and start again.He's experiencing an upper effect of some kind, too.
It's possible he's susceptible to ketamine induced mania, though his presentation strikes me as more hyper and attentive than the versions of ketamine mania I've seen.
Meanwhile never experiencing true sleep cycles that keep you sane.