If he made himself look great to a psychiatrist, he has the ability to do just about anything for himself. Odds are the psychiatrist said there was nothing to treat because he didn't believe he had any issues.
I have a sister who will be 48 years old in a few days. No addictions to speak of, but almost an entire life of chaos. Her 4th marriage just fell apart and she lives overseas. She's always looked for someone to rescue her and always found someone willing, but refuses to look at herself for answers. Why would she when she always finds enablers? It is my hope that being stranded in a foreign land will finally bring about that moment of clarity. Unless my mother rescues her again.