Thanks. I was vaguely aware of who this person was. I was more referring to the schizophrenia.

The last of your prefrontal cortex's major systems come online in your earlier 20s, which can lead to bipolar or schizophrenia if those systems are disordered. In most, it just happens to lead to "your first deep thoughts about the broader world and your significance in it" and may lead to writing youthful cringepieces like "The Conscience of a Hacker". It's kind of like a second puberty. The underlying cause is the same, if the results are vastly different.