You don't have to be a doctor to diagnose asshole behavior.
A handicap might mean that you just can't do certain things. No, it's not fair, but it's not like we expect the a quadriplegic person to be a long-distance runner... at least not with the medical technology available to us today. I hear a lot of rhetoric (that I agree with) around how a mental illness should be treated just like any other illness and not stigmatized as something to be embarrassed about. But it goes both ways: if a mental illness is just like any other illness (or handicap), then it's perfectly possible that some mental illnesses might mean that some activities aren't feasible, at least not until we understand them well enough to provide better treatments.