If you recall the judge's sentence:
"Since my friend you have revealed your deepest fear. I sentence you to be exposed before your peers. Tear down the wall."
It's just that. Mental illness is, except for in completely super beyond obvious cases, not visible on the surface. In many cases, a mentally ill person would rather keep it all inside, wall themselves up rather than let someone get close and help. By the end of the film, his actions can no longer be justified as, "Oh, he's just an artist, he's creative/eccentric: That's just what artists are like." He clearly needs help and everyone around him can see that. The wall was tore down so people could get in there and save him. Therapy and medication.
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