A bloke i know really well, is not mentally ill, but he's struggling with a moral dilemma....
I have to agree that your friend is displaying classic symptoms of mental illness. As suggested, he doesn’t really see it as such. He probably sees it as a weakenss, an inability to cope with something others cope with no worries. Well, as the figures Dan quoted indicate – others DON”T COPE "no worries". They do the same as your friend - they hide it.
If left unchecked it gets worse. It often results in marriage breakdowns, alcoholism, drug taking and isolation from others and ultimately suicide.
What is happening in your friend’s body is a chemical imbalance. By helping others, he has been causing his body to produce those chemicals that do make you feel good, such as endorphins. However, the short fall in the critical chemicals is evidently getting worse and the endorphins are no longer covering it even when they are released. His illness appears to be getting worse.
It may or may not be the case that his moral dilemma triggered the illness. If it did, his brain will benefit from re-routing of nerve pathways associated with this memory. That is where appropriate counselling and therapy can help. If it wasn’t caused by that, he probably still needs to unlearn that association.
Unfortunately we cannot see inside the human body to determine neural pathways and release of neurotransmitters. This is where a good medical practitioner comes in. It is invariably a bit of trial and error but through appropriate diagnosis and then finding the treatment that works for him, the illness your friend has can be counteracted and his life can return to something a lot more normal.
Bearing in mind that I am not qualified to make an assessment, it sounds like he is getting towards the serious stage. I will warrant that it is now affecting his relationships with other friends, his family, even his work performance. I’d be happy to be wrong on that score.
The advice already given is excellent. You could email what you have told us to Beyond Blue (or even the whole thread) and see what they advise.
Oh yeah… because your friend is “feeling” this and puts that down to something
he did, he doesn’t see how some outside him can help. He doesn’t know it is to do with incorrect functioning of his nervous system – which can be corrected to a lesser or greater degree with the right treatment. On the inside looking out you just don’t see it!
I also have concerns for you. You can lead a horse to water but it is not your doing if it refuses to drink. Don’t take on responsibility for what may happen. It is not of your making and you do not have control of the situation – so do not take responsibility for that which is out of your hands. You have done all the right things to date, more than could reasonably be expected of a good mate. As has been explained, it is an extremely challenging and difficult set of circumstances – so difficult to know how hard to push and in which direction.
I concur with the advice given and simply wanted to provide some understanding from a different perspective. I hope you find it useful.
Good mates are hard to find – he’s fortunate to have you as one.
Blue