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I think your instincts are on point. Some mental health issues exist in part on an "unreachable" (at first...) fault-line between how the person feels, and how they think (know) they are expected to feel, be or behave. Isolation is surely always a feature... "Staying strong" in such a situation...

Hopefully he'll get the help he needs. Sometimes this is a difficult ask when it comes to mental health.