Read his latest blog entry (or don't - it's quite a waste of time). Money quote is this:

> "I’m cyclothymic too. Like Nieztsche and Byron and those guys. Albeit, much less talented; I’m just saying I got the same affliction. [...] What’s a cyclothymic? It appears that we feel emotions more strongly than other people, and cycle through them. I’m fucking awesome when I’m manic [...] Cyclothymic mania is when the SPIRIT OF GOD is within you. [...] It’s pretty fucking awesome when it’s going on. SPIRIT OF GOD WITHIN YOU. Imagine that, eh? [...] Jut one rub – it’s a Faustian Bargain – crashing is… well, “hell” [...] when a convergence of bullshit strikes, then I crash hard and I’m fucking useless for a while. It’s a real bummer, I’ll tell ya."

So yes - manic depressive. And a little too taken by it, if I may say so.

The piracetam may not help; it's normally a very well-behaved nootropic (I and many others use it without issue), but that's in normal people - with bi-polar or whatever he's got going on, who knows?