I have a close friend who keeps busy with his

Patient : I have a close friend who keeps busy with his life. He's always running and trying to "Make it". I've noticed a pattern of him getting stressed out and just flying off the handle. .. Getting a glazed look in his eyes, putting false accusations out, not making sense in his anger, etc. Eventually he pulls out of it and returns to earth but its hard not to be hurt by his outbursts. I have wondered about bipolar disorder but that seems a bit extreme. He just can't seem to pull himself back to reality once he's gone down his " everyone is out to get me" road. What can I do? What is wrong?
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