Don't refer him out just yet. I think I need a little more data to really say something meaningful. Could you provide just a bit more information for me along the line of his interpersonal style and the sort of feeling he evokes in you and the general attitude he conveys to: 1) you about his therapy chances; 2) the world in general if this is different from #1; and 3) his ability to actually live (with or without the "cure"). I know this is a broad...but his interpersonal style says alot about his problem solving, his motive, and his chances to change. I might be able to advise you better or even suggest a preliminary intervention or two if we can communictate well enough about that angle of his living. Thanks.