These people are loathe to be helped, because that help then becomes part of the problem to them, no matter how well-intentioned the helper. This fear causes a certain amount of emotional stagnation, and a fear of over-stimulation. These people tend, as a general rule, to have quite a bit of paranoia.
I can only hope this pattern will not be applicable in terms of Michael, whose problems have a direct, obvious source. I will be meeting him tonight for the first time since Saturday.