A Touch of Madness

Tarveth has not had a good day.

First, his sister finds out - and not from him - about his lycanthropy and previous vampirism, which he had withheld from his letters to her; resulting in the bitterest argument they'd had in many years.
Tarveth can't bear conflict of any kind with his beloved sibling. That alone would have driven him to the pub to drink his sorrows away. Instead, remembering what happened last time he got thoroughly drunk, he tried to take his mind off the fight and instead headed to the Mages Guild in Stormhold to tackle some mercenary work.
The end result of that 'work' was nothing short of utter torment for him; by Meridia's will he'd fulfilled not only the Pact, but the Covenant and Dominion questlines as well. Being forced to slay apparitions of the friends he had made during Cadwell's Silver/Gold for the amusement of a Daedric Prince left him exceptionally miserable.
As a result his mind, fragmented and crookedly healed first from the incident that cost him his eye, then from his four years of hell as a soul-shriven in Coldharbour, is starting to splinter again.

No, all is not well with him, no indeed.