No, he's just really, really dumb. He thought that "groovin' to the binaural beats" would make him grow a vagina, and so he decided to jump start the process with a blade. He thought the binaural beats cured his autism. He thinks his tits have gotten bigger because he slathered Estrogel all over his gut and wore titty vibrators, and not because of his penchant for fast food. He thinks that his seaweed hair makes him look like Sailor Neptune when in fact it makes him look like some sort of half rotten ocean creature.
His sincere belief in all of this nonsense indicates that he is, as I said, just really, really stupid.