Charlie Sheen is at it again. The "Two And A Half Men" star has many concerned since his behavior has recently become, unbelievably, more erratic.

The troubled actor says he has the perfect life, is doing just fine and is the envy of all. He recently called into the Alex Jones radio show to bash the creator and executive producer of "Two And A Half Men," Chuck Lore, calling him a clown and a turd. FYI Charlie: not a good thing to say about your boss to the national media.

Lore had a decision to make, and with all the negative publicity his star has created lately, there was really only one thing he could do. He cancelled production of the show for the rest of the season, stating the reason to be the "totality of Charlie Sheen's statements, conduct and condition."

This further infuriated an irrational Sheen who then sent an open letter to TMZ, calling Lore a little maggot who cannot handle his, (Sheen's), power, and that he has defeated this earthworm.

As if things weren't already bad enough for Sheen, the out-of-control actor then texted ABC's "Good Morning America" that he would be showing up to work next week. The producers of the CBS show quickly retorted that Sheen could show up, but that he'd be the only one there.

Sheen admits to Andrea Canning on a new "20/20" interview airing on Monday evening that he is under the influence. "I'm on a drug. It's called Charlie Sheen." He admits that being sober is boring, and claims that using crack cocaine is perfectly fine if the person can manage it socially. I wonder if he really considers that he’s managing himself socially?

How can you know when someone can no longer take care of himself, or will not cause more harm than has already occurred? When is it time to institutionalize someone who is beyond helping themselves? Listening to the rants, Sheen is in an acute psychiatric emergency. Yet, without meeting certain rigid criteria, he cannot legally be forced into an institution, rehab or even counseling. The spiraling will continue until something even worse happens. It is very difficult in the United States to force anyone to receive the mental help they need if they don't want it.

While watching Sheen in the news is much like watching a multicar wreck on the interstate unfold before our eyes, we aren't sure if the reason for this destructive behavior is because he’s bipolar, doing drugs or having drug withdrawal.

Folks watching have mixed feelings, from utter distaste, loathing and indifference, to those that think the whole thing is hysterical to others that feel sorry for him. From trashing an exclusive hotel room, to drunken bad behavior to these newest rants against his boss and AA, we all have our own personal feelings and thoughts over his behavior.

Sheen is clearly in a desperate, downward spiral and something will happen soon. Either this man gets help or I fear the worst. Sheen has been reported saying, "I have a disease? Bullsh*t. I cured it with my mind." It's not that easy, Charlie. It's never that easy. Do yourself and everyone who cares for you and depends on you a favor. Get the help you desperately need, and get it soon. It just may save your life.

Dr. Dale Archer is a psychiatrist and frequent guest on "FoxNews.com Live." For more, visit his website: Dr.DaleArcher.com.