The guy meets most definitions for genius and has absolutely contributed to the evolution of the universe.
With that said, there is a pattern of temperament behind someone with the kind of drive Elon demonstrates...
This temperament often underlies *greatness* in intellect, the arts, athletics, and creativity.
This kind of drive needs channeling. You need to control it so it doesn't control you. Doing this is VERY hard. You are fighting your own brain and re-training it, full-stop.