from wikipedia: Van Zandt was of MENSA intelligence and was diagnosed manic-depressive in his early twenties. He was treated with insulin shock therapy, which erased much of his long-term memory. His lack of memory and his mental condition contributed to both the passion and sense of isolation evident in his songs.
For much of the 1970s, he lived a reclusive life in a cabin in Tennessee, with no indoor plumbing or phone, appearing only occasionally to play shows.
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