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Your friend is an adult. His medical records are private and should remain so.
Telling his parents may not be necessary or beneficial. If they are controlling or abusive in any way, this could become a bad situation. Perhaps the perceived distance between his family and you is the reason why he contacted you and not another friend.
Informing his school - really? What are they going to do? Universities should not be in the habit of policing substance abuse problems.
Your friend is an adult. He needs to be treated as one. You need to speak with your friend and tell him that you are concerned. That's it. Inform him of the services available to him. If you look into exactly what is available to him at his university within walking distance, and make things seem very easy, then he's more likely to do something about it. If you really see the need to spread the news to all friends and family, go for it. If he has anything like my background, he probably won't confide in you anymore if you choose that path.
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"Sometimes I have to remember that things are brought to me for a reason, either for my own lessons or for the benefit of others." Cynthetiq
"violence is no more or less real than non-violence." roachboy
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