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Yeah, I've seen much of the same as well. Some turned suicidal, some got help. Most common element was they were bipolar, either from drug abuse or personal trauma. They tend to lose touch with how they intereact with reality and cannot see how what they see, do, or experience relates to other people and vice versa - or go from one extreme to another.
Talk to his family. They guy may need an evaluation to get back on the right track. It won't happen by itself.
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