hi doctor, my friend XXXXXXX is behaving a little odd
Yes, he needs to start treatment.
Welcome to Ask A doctor service,
I have gone through your query in detail and can certainly understand your concern towards his symptoms.
Yes, these symptoms could be psychotic symptoms and he needs to be thoroughly evaluated regarding any history of head injury.
He needs to be statted with antipsychotics like risperidone along with mood stabilizers if needed.
I would advise you to consult your psychiatrist regarding this and follow advise accordingly.
Hope this information would help you.