You can't breathe. You can't sleep.
And after a while you become so chronically rest and oxygen deprived that your brain stem goes into permanent panic mode. Everything becomes frightening. But the cerebral cortex shuts down so you can only obsess on and accomplish ONE thing.
You literally get a hyperactive one-track-mind.
This man became afraid of helpless Guatemalan women who are thousands of miles away...
But he was too debilitated to do anything constructive...
So he decided to shoot his neighbors.
It all makes sense if the frontal lobe isn't functioning.