No. I meant gone COMPLETELY!  

There's different varieties, of course. Some are not all that debilitating. Just a bubble off. A little OCD, for instance, passes for "organized" or "tidy." 

But the dRumpfster has gone absolutely 'round the bend at this point. His paranoia is palpable. He's monomaniacal and stratospherically narcissistic. The Trickster at his worst, talking to portraits of presidents on the White House walls and counting Jews at the Department of Labor, wasn't remotely this loopy and he actually had some reason to be. 

If Donnie's dad hadn't loaned and left him all that dough, he'd be living in a cardboard box, eating out of dumpsters and howling at traffic from his shopping cart.