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It's great that he is thinking things through and trying understand his own feelings.
The first step to the road of recovery is realizing you have a problem.
He needs to talk to mc and he needs therapy.
I'm worried that the nosebleed might be a symptom of something more. We know he has a personal Dr. We know there is something medically wrong with him (and his dead brother?).
We just don't know what it is.