Dr. Jan Adams, the former plastic surgeon who worked on Kanye West's mother, Donda West, before her tragic death, says the hip-hop superstar is still grieving the loss.
Dr. Adams believes that Donda's death on Nov. 10, 2007, may be a contributing factor to Kanye's recent psychotic episode, which landed him in UCLA Medical Center for evaluation, the Daily Mail reported.
"If nine years later Kanye can’t deal with it and wants to blame himself, then someone needs to stand up and say to him, 'Come on, this is not your fault, dude. We need to turn the page. We can feel sad and we can miss her, but it doesn’t happen until you confront the truth,'" Adams told the Daily Mail.
Dr. Adams, 62, who has maintained he was wrongly accused of Donda's death and was eventually cleared of any wrongdoing by a coroner's report and investigation, said Kanye needs to confront the truth about his mother's passing.
"If he’s going off the rails, he needs to realize he’s the victim and it's not his fault," Adams continued. "When you’re around something bad and you don’t address it, your karma gets a little screwed.
"The truth has a way of coming back and coming back until it’s dealt with. When people deal with the truth they get better over time. When they don’t, they don’t go through that process and it stays the same."
Donda died of heart disease while suffering "multiple postoperative factors" following plastic surgery, according to a Los Angeles coroner, the Daily Mail reports.
"I think Kanye West feels guilty about knowing the truth and not speaking the truth," Adams added. "Isn't that his claim to fame, that he's right up front, right out there?
"If that's true why hasn't he said out loud, 'There's one thing that's been bothering me, Dr. Adams had nothing to do with my mom's death, I don't know if you guys know it this is what happened it's sad. But I think the truth needs to be out there.
"If he had any balls or if he was any kind of man he could (speak up). But the real answer is he probably won't."
Adams, who was a successful surgeon at the time, was eventually forced to close his business after the bad publicity surrounding the Donda's death. He also had his medical license revoked in 2009 over a DUI charge, the Daily Mail reported.
Kanye had previously said that he himself shares some of the blame for his mother's death.
"If I had never moved to LA she’d be alive," he told Q Magazine during an interview in 2015, Vibe reported. "I don’t want to go far into it because it will bring me to tears."
A close family member, who wished not to be identified, also told the Daily Mail that the holiday season is especially rough on Kanye.
"Any time around the holidays is tough for him, he is an only child," the relative told the Daily Mail. "But he was very close to his mom, so this time of year... it’s really difficult.
"Then on top of it, everything that happened with Kim in Paris, the build up to it is a lot, it’s a lot of pressure.
"Kanye is highly sensitive and highly protective of certain things which doesn't help.
"But people are so used to seeing him as a performer or as an icon, they don't see him as a normal person.
"And really he is just like we all are, broken and lost and hurt, we all are made of different fragments as human beings.
"With too much pressure it bursts and right now with everything hurting for him Kanye has burst."
Kanye suffered another loss in 2013, when his grandfather, Portwood Williams, died at age 98, the family member said.
"Some of the people he really connects with are not here any more which hurts," the relative continued. "If you think Kanye is brilliant, well the apple didn’t fall far from the tree, his mother was a top educator, his grandfather was smart as hell, was a community activist, he has a statue in Oklahoma, there’s a long line of high achievers in the family.
"But a lot of these big influences in Kanye's life are no longer here."
The relative believes Kanye's work ethic also contributed to his hospitalization.
"Kanye has a lot that he wants to [accomplish], which is admirable, but you also have to learn how to balance it," the relative added. "But he is committed to the game of winning. He really believes he can do anything, he really believes that. That’s powerful, but to a fault."
Kanye is doing "much better" since being admitted into UCLA Medical Center on Nov. 21, ET Online reported.
"He just needed some rest," a source close to the couple told ET Online. "[Kim Kardashian] is currently with Kanye right now at his side. Kim feels more connected to Kanye than ever. Their marriage is doing great."