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Your friend is the only one who can get him out of his present situation - at one point or another he'll have to make the decision to do what it takes to improve his life - whether that means taking the medication he needs or building up the drive to do something with his life.
Be there for him and let him know that you'll stand by him as long as you can but all of your actions will be for nothing if he doesn't make the decision to turn his life around and/or get the help he needs.
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"Porn is a zoo of exotic animals that becomes boring upon ownership." -Nersesian
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