'Very Paranoid' Kanye West Is Under 'Constant Watch' for His Safety: Source

A source tells PEOPLE that West has "big ups and big downs"

Kanye West is being heavily supervised during his time at UCLA Medical Center, where he was admitted for exhaustion and sleep deprivation a week ago, an insider tells PEOPLE.

The source says that West generally has “big ups and big downs, but this bout seems to be much more serious. In the hospital he has been very paranoid and is under constant watch for his safety.”

PEOPLE’s insider adds, “He’s still there because clearly he’s not doing well.”

West, 39, was hospitalized shortly after he canceled the remaining dates of his Saint Pablo tour last Monday, and remained there over the Thanksgiving holiday.

Wife Kim Kardashian West “acts very concerned. She says he has yet to be diagnosed, but she uses words like paranoia and explained that Kanye thinks everyone is out to get him. The only person Kanye trusts is Kim,” a source close to the family tells PEOPLE. “Kim does spend hours with Kanye every day. She says that Kanye is on many different medications and that his doctors are figuring out proper doses. Kim says that not much has changed since he was admitted and that his doctors seem concerned.”

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A West source told PEOPLE that it remains unclear when the rapper will be able to return home, but claimed that a recent update was a positive one. “They tell me he’s doing good,” the source said, adding that “he’s been really eager to make music and to work even from the hospital bed.”

In regard to questions about the rapper’s mental state, the second source said that West’s mental health is “very private,” and “between him and his family.”

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