The Sad Clown Paradox is where mental disorder meets comedy. It’s the ‘cyclothymic temperament’ (me neither, thank God for Google), a ceaseless instability of mood, thinking and behaviour. It’s a never- ending cycle where a child takes on additional responsibilities, which evokes a need for acceptance and creates mental health issues, which in turn leads to a need to self-medicate with humour. Rinse and repeat enough times and what you get is a comedian.