If you're prone to forming delusions, but you're good at checking your beliefs against reality, you might manage to avoid going off the deep end, but that doesn't mean escape unscathed.
Amphetamine use can make you imagine the people in your life are plotting against you. A good rationalist will notice they lack evidence and that the prior should be pretty low, but they'll still be left with whatever cognitive patterns threatened to generate that delusion.
Psychedelic use can make you believe stuff in the "all is connected" space. A good rationalist isn't going to start believing parapsychological phenomena are real because of something they experienced on an LSD trip, but they'll still be... (read 284 more words →)
This hypothesis seems like it should be at or near the top of the list. It explains a lot of Sam's alleged behavior. If she's exhibiting signs of psychosis then he might be trying to get her to get care, which would explain the strings-attached access to resources. Possibly she is either altering the story or misunderstanding about her inheritance being conditional on Zoloft, it might have been an antipsychotic instead.
On the other hand, while psychosis can manifest in subtle ways, I'm skeptical that someone whose psychosis is severe enough that they'd be unable to maintain stable employment or housing would be able to host a podcast where their psychosis isn't clearly... (read more)