Well it seems evident that based on Ralph's admitted meds he's been taking and his behavior/actions for a while now, he's either self-medicating or being advised to get some sort of a handle on a schizophrenia situation or similar disorder.
The ol' Ronnie Ralphacurse may just be getting the better of the gunt after all. We don't really know just how bad it is because he won't tell us.
Either that or...he's just a junkie.
But if he is truly dealing with some serious mental disorder...well if that's the case, wouldn't we feel just awful beating up on this wacko this whole time.(Ha)
But I've been more fucked up than Ralph plenty of times and I never thought I was talking to Andrew Tate or believed I had some sort of Olympic boxing career and imaginary plaques on the wall from my legendary Killstream interviews ect. in my stupor.
'Schizophrenia-
Behavioral: social isolation, disorganized behavior, aggression, agitation, compulsive behavior, excitability, hostility, repetitive movements, self-harm, or lack of restraint
Cognitive: thought disorder, delusion, amnesia, belief that an ordinary event has special and personal meaning, belief that thoughts aren't one's own, disorientation, mental confusion, slowness in activity, or false belief of superiority
Mood: anger, anxiety, apathy, feeling detached from self, general discontent, loss of interest or pleasure in activities, elevated mood, or inappropriate emotional response
Psychological: hallucination, paranoia, hearing voices, depression, fear, persecutory delusion, or religious delusion
Speech: circumstantial speech, incoherent speech, rapid and frenzied speaking, or speech disorder
Also common: fatigue, impaired motor coordination, lack of emotional response, or memory loss'