It is important to note that P23 was diagnosed as a youth and has not gone to therapy in many years. Essentially, he just keeps getting refills and taking the medication without undergoing reassessment.

He is also under the delusion that Jack Dorsey solely created Twitter because he somehow had the foresight to know that, specifically, P23 would be using the platform. As if it were made just for him. Ideally, when selling a product you want people to feel that it was designed with the consumer in mind, even on the individual level... However, you don't necessarily want them to whole heartedly believe it in the literal sense.