"he explains he's writing to his brother to see if he's better. He never explains what was wrong with him or elaborates on very much. Although, it can be implied that he may have had a breakdown..."
In "Famous Blue Raincoat" the 'illness' that Cohen's brother suffers is made very "clear". He asks his brother if he ever went "clear". Going "clear" is a slang term for getting clean, or 'getting clear' of drugs.
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