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Hollywood has lied to you. Inhibitions don't mean shit against 90 lbs and a full caloric load.
Meth, on the other hand...
Actual meth isn't out of the question when faced with any given malnourished psychotic, but I think "crazy" can have similar effects.
I mean, yeah, usually it boils down to either "hysterical strength", "ignores pain", or both, and in both cases it's a mental phenomenon that can be achieved without drugs (indeed, the former is literally named after hysteria often producing it).
Not sure whether it's in play here, but practice being in pain (e.g. self-harm, possibly also long-term injection drug use) also increases pain tolerance to unusual levels (permanently?).
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In my experience it absolutely has the same effects. Crack psychosis or regular psychosis, people who have lost touch with reality can do amazing and terrible things, things that don't seem humanly possible - that make you start to wonder if they even are human any more, haunting you for the rest of your life. Drug psychosis is usually where you see guys peeling skin off their face, because the drugs affect your nervous system more than sheer determination, but sometimes determination is enough.
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