Max felt like he was having a mental breakdown at the hospital as the nursing staff and the passing doctors gave him the looks of scrutiny.
Many thought that Max had rushed in with a pregnant girlfriend or something similar and was now freaking out about how to inform family members about this. However these people did not understand the levels of psychological manipulation that Sophie had mastered.
The problem with Max was not that he did not know how to differentiate between right and wrong. The problem was that he was still an innocent teenager who was naive in the ways of the world.
Max understood that he needed to ditch his girlfriend and be there with his pregnant sister in law who needed him more , however a small part of him worried that what if he left and Sophie actually killed herself?
He did not wish to risk such an outcome which was why he was having a psychological breakdown.