He dropped out of school about that time.
I think he was probably a typical late-adolescent onset schizophrenic, but that said, I think he may have had OWS or Islamic connections that pushed him into real violence. Paranoid schizophrenics often see themselves as warriors for a cause, and it wouldn’t surprise me to see some outside influences in his life that gave him some way of justifying his insanity.
There were almost certainly additional outside influences that exacerbated his psychosis: probably some drug use, and certainly any association with the violent, but garden-variety neurotics in OWS wouldn't have helped.