If he’s anything like his on-stage persona in real life, he definitely needs to see a doctor, because his character is a seriously depressed, maladjusted, neurotic human being.
See, I can laugh at Louis CK when he’s on stage for an hour or so, and then forget most of the act. If I met a real person who was as dysfunctional as his on-stage persona, I would be seriously concerned for their well-being.