.... sorry to hear he's struggling... sounds to me like he needs to talk things out with someone he will listen to/agree with? A male friend or T...who has a head on his shoulders and can counter the maybe obvious self-blame? He's keeping things bottled up (as is custom for men in general) and what he's telling himself might be worse than what is reality....until he opens up, nothing can counter his thoughts, nor ease his feelings. Good wishes!