Oh my.... Well, if his brain wasn't broken before, it certainly is now. I have seen thinking like this before and it was meth-psychosis. I knew a guy who also thought random people were after him, plotting to kill him and such, and it was because he had been doing meth for 2 weeks strait and cooked his brain. Does Nikki have a script for Adderal? Not even joking here, this kind of thinking can be the result of doing too much speed. It has already been said here, if he hears and Ice-cream truck, he just might start shooting.
12 months from now:
"Hey Patrick, remember the time you literally thought a federal judge and a mafia hit man were after you?"
"That never happened stalker, enjoy prison"
"But, you posted it here on twitter, 13 pages, here's the screenshot"
"No, stalker, that never happened or would happen"