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Maybe a mistake I made can help a bit.
I had a friend who was "losing touch" with reality. He was my best friend for many years. He wouldn't, or couldn't see the problem. In an attempt to help him, I enlisted his family to support my suggestions to obtain counselling. He accidentally overheard me talking to his mother one day.
He never trusted me again. The only bridge to reality that he trusted had failed him. I failed him.
Help your friend as best and forcefully as possible. But protect your friendship at all costs. You may be one of the few that can convince him to obtain help.
Good Luck
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For me there is only the traveling on paths that have heart, on any path that may have heart. There I travel, and the only worthwhile challenge is to traverse its full length. And there I travel, looking, looking, ...breathlessly.
-Carlos Castaneda
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