I don't know if insane is the correct word, but Alex once he finds someone who is either damaged, hurt, sick feels the need to be the one to take care of them as if it is his responsibility.
1. His mother was ill, his father left, as he said to his father, "I was the dad"
2. Ava/Rebecca, she had some mental problems, he was there for her "hysterical pregnancy", even taking her word over Izzy's. Bathed her, washed her hair, took her to the hospital when she slit her wrists and continued to try to help her until Izzy got her committed.
3. Izzy, even after she rejected him for Denny, he took it upon himself to carry off the bed & hold her after Denny died. He was tender, caring & took care of her when she got Cancer. When she was healthy he tried, but she rejected his help and then things went down hill from there.
4. Lexie was just a fling, someone to ease the pain of Izzy
5. He had multiple one night stands & then it looked like he might have something w/Lucy & he was going to stay behind for her, then she pulls the rug under him & takes the grant
6. Jo, she got beat up, he tended to her cuts & bruises, went to confront Jason, but he was already beat up & he took him to the hospital & got Meredith & Christina to cover for her.
7. Even after the yelling & going after his dad, he stayed w/him until he died
8. Meredith, after she got attacked, he slept by her bedside & checked in on her often. She finally had to tell him to leave & be w/Jo after she was healed. Even before that he kept calling to make sure she was ok when she ran off after Derek died.
And now he attacks Delucca (what was truly going through his mind we don't know for sure) but that is Alex mentality. He lashes out when he is hurt or rejected.
1. When he kept trying to reach Izzy (after she left) during the I Saw What I Saw episode w/the patient {April accidentally killed) while everyone was waiting for their Q&A Jackson said something about Alex & the phone calls & he jumps him
2. After his father died & he blamed Shane for the hatched job, Shane tried to apologize, & told him to walk away, but Shane wouldn't & Alex lost it & went full on metal on Shane
He's gone after paitents parents accusing them of not being a good enough parent to their child (because that's what happened to him)
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