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Kanye West isn’t doing so well. And it appears that his recent medical scare is more than mere dehydration and sleep deprivation.

It’s Kanye Watch 2016 up in here–and the stakes are higher than ever.

We first learned that something wasn’t quite right with the 39-year-old hip hop icon when he pulled chute on a concert this last weekend and then cancelled a bunch of upcoming events.

Now, according to new new reports, West will likely be eating his Thanksgiving dinner at the hospital. A source close to Kanye told TMZ that the rapper’s alleged psychological problems are serious enough to merit coverage from his insurance company for the shows he’s missed.

So, it doesn’t sound like exhaustion.

Meanwhile, another insider told People that, though they continue to support each other (Kim ran to Kanye’s side when she heard he’d taken ill), the Paris robbery and all that has ensued has put a real strain on their marriage.

“Kim [was] usually the more stable and strong person in the marriage,” the source told People. “Kanye is used to leaning on her. Since Kim has had her own issues to deal with, the roles have been reversed. Kanye has had to stay strong to support Kim, and it’s like he can’t handle it anymore.”

We totally sympathize with both Kim and Kanye. Painful events such as what recently unfolded in the pair’s lives would be trying to any relationship–famous or not–especially when one person was providing the majority of support and then suddenly it stops.

We hope Kanye is able to rest up and get the help he needs. Sending positive vibes your way, Mr. West.