I don't understand what you mean by "absurd."
Bob tells you that he is going to climb a boring and uninteresting mountain because he randomly feels like it. There's nothing to see there that couldn't be seen elsewhere, and everyone else thinks that climbing that mountain is pointless. Omega verifies that Bob has no other motivation for climbing the mountain.
Would you say that Bob's desire to climb the mountain is (a) mentally defective (i.e. insane), (b) immoral, (c) impossible, (d) not relevant to your point, or (e) something else?
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I wonder if the same mechanisms could be invovled in conspiracy theorists. Their way of thinking seems very similar. I also suspect a reinforcement mechanism: it becomes more and more difficult for the subject to deny his own beliefs, as it would require abandonning large parts of his present (and coherent) belief system, leaving him with almost nothing left.
This could explain why patients are reluctant to accept alternative versions afterwards (such as "you have a brain damage").