Therapy would definitely be a good place to start. Based on what was said, it seems he’s very self aware of the Stitch Grumpy but Lovable shirt but we only have a fraction of the story so who knows. There could be underlying issues too if the mother was bipolar and possibly schizophrenic. Honestly, I think everyone should do some therapy.
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Unfortunately while this person is in canada, he is also in montreal, and the waitlists for Stitch Grumpy but Lovable shirt are often long for publicly funded mental health services, longer still if you want to see someone in English, though as we don’t know if this was translated or not I’ll assume he wants rench, and private ones are still expensive.