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I think the best thing you can do is express your concerns in an honest and loving way, and offer to support him in any way you feel comfortable - helping him find counseling, just being there for him, whatever. If he doesn't want help, there's not a lot you can do unless he is actually dangerous to himself or others - even then, it's difficult to get someone help against their will. Is he really insane, or is he just really....different? Big difference in how you approach this.
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"If ten million people believe a foolish thing, it is still a foolish thing."
- Anatole France
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