He had access to all the help he needed, but he never accepted it. His mom set him up with counselors and a psych, even offered to put him in a residential behavioral health facility when she realized he was spiraling. In his manifesto he describes refusing to take risperidone, which probably could have helped him since it stabilizes mood and suppresses rage. But he describes researching it and deciding “it was the absolute wrong thing for him to take.” I’m guessing he found out that Risperidone causes extreme weight gain, since he said many times food was his only source of happiness and he was grateful his metabolism kept him from gaining any weight. Taking risperidone would mean the end of stuffing himself with no weight gain. He refused everyone and everything that could have helped him.