You can make a lot of money and still be a hot mess. Look at celebrities. Alpha nerds are just a variation on the theme.
If their lives aren't a mess, they're not the ones I'm talking about.
A lot of social problems disappear when you're accepted as a famous accomplished person. So a celebrity can be weird and not face the same social isolation.
The pathology is that we started with a weak arm and a strong arm, and most of our parents and teachers downplayed the importance of the weak arm while encouraging us to work the absolute shit out of the strong one.
Then they send us out into the world looking like teenagers who just discovered xtube. The world can smell weakness and throws loads of curve-balls at the weak arm, and most of us never notice because we're still too obsessed with the other arm.