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If any pain that he has gets worse at some stage, which will probably happen eventually, it'd very likely affect the quality of his life.
As you say it's tough as it's like having a family member.
With occupations like Counselling in particular, do fear that those that need mental support are solely using AI to communicate with instead of a qualified professional who could listen and assist them in real life.
Feel a bit sorry for him as he was pretty decent before the allegations made against him back in 2021 (got off any charges in 2023) and had since then failed to return to his prime.