What can/could he seek help for?
Well, his words not too long ago....
“I miss my life,” he said. “I miss being able to defend myself … being able to dress myself … being able to use the bathroom without someone helping me … I miss not peeing the bed because I have no control over my penis … not having to have pills keep me alive … being able to compete … being checked out by girls … I miss my pride as a man … the pride my father swelled with when he spoke my name … I miss,” he said, “not having to convince myself every day not to pull the trigger and end it all.”
What do I feel he can/should address by "seeking help" now?
Narcissism/Insecurities - I know they are basically opposites but I think he may suffer from both.
Delusion
Discretion
Fetishism/s
Alienation
lying
I'll add with a question mark at the end - sexual identity?