The candle that burns twice as bright, burns half as long.
Many not neuro typical people burn out in one way or another and "vannish". But without the non-neuro typical behaviour, you would not get the expertise.
If you can not recongize faces, you are less likely to socialize and more likely to escape into reading or coding, or any other creative non social endavour.
If you are bi polar, you are way more able to turn your life into a "story" of great highs and falls, which might even affect other lifes. In a way the madness maketh the genius. And then unravels it.
Turns out for the relations/familys though, that its not great to life in a play.
We need ways beyond medication to keep people around that spin themselves apart. Because they notice and love/hate what makes them themselves. If you are a bipolar actor and you have a choice between "acting" and crashing, or a zombie existence, then the "zombie" is not a problem solved beyond having 1up in the statistics.