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When does creative thinking become "insanity"?

Is it mostly down to how we package and present our creative thoughts the right way in order for them to be understood by others that keeps us sane? What is the real difference between someone in a mental institution and a mad genius. How do we balance a totally free creative mind and a grasp on reality?

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    Jan 8 2012: Usually, a genius has a plan drawn out to do the improbable, which is percieved as impossible by others ( somewhat borrowed from sherlock holmes ), whereas crazy people are just shooting in the dark hoping to hit the target or sometimes, not even that. To sum up, creativity becomes insanity when it is not backed by planned and deliberate attempts in realising the same.

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