Details in Kanye West’s hospitalization have emerged, and he’s been battling paranoia and depression. According to TMZ, he’s been in “desperate shape,” feeling both “paranoid and profoundly depressed” for a long time. It reached a tipping point most recent.

He was rushed to the hospital when he became convinced that people were out to get him including the doctors who were caring for him; he refused to let his physician even touch him.

Sources tell TMZ his condition has been building for months. Furthermore, he’s said to also suffer from dehydration and exhaustion.