Odd update time now that the computer is fixed!
Perhaps "I know you're busy" was a trigger phrase, but I did follow it up with it being a favor for him and not a need for me.
In any case, here's how things panned out.
Not too long after I posted, his sibling wrote on FaceBook that their mother passed away. They were semi-estranged, but she was one of his two remaining family members. Cue a few days of me cringing over dumping a guy on the heels of a death in the family.
The night before, he called and could tell something was up. He didn't think the issue the week before was that big of a deal since he's more accustomed to more explosive relationships. To him, being that busy and used to a different communication style, maybe not. But if it's the only communication I have with someone in a two week period, it doesn't exactly make me want to have any further communication with that person. Since there were clearly a large number of people around him, I left it at saying that it was a bad idea for him to come out and to go ahead on home and I'd call him in a few days.
A few hours later, after I went to sleep, he calls again to let me know that he really missed me and if I was doing okay since I didn't sound right when we spoke earlier. Yep. Doing fine, mumble mumble, zzzzzz...
Next night, they drop him off and he gets to my door after they drive off. Apparently, I was a little more vague in my half asleep state on the "do not come here" stance and said, "I don't care, but it's not going to be a good visit. Go home unless you want to deal with a hell visit." Great. I tell him what the problem is and suggest that he go home. He apologized and said he'd get counseling for the issues and that he really didn't want to lose me. We hung out as scheduled and are now on hiatus until he's had at least three visits to the shrink.