What is the ruling on one who intentionally broke their fast for five days in Ramadan due to severe psychological pressure from accompanying their sick mother, and what is incumbent upon them other than making up those five days? Do they have to feed the poor or give charity?

Your friend must sincerely repent for intentionally breaking his fast in Ramadan (definition). Al-Dhahabi considered someone who intentionally breaks their fast without a legitimate excuse to be worse than an adulterer and an alcoholic, and he doubted such a person's Islam. He must make up the five days he missed fasting, by scholarly consensus. The majority of scholars hold that no expiation is required unless the breaking of the fast was due to sexual intercourse. It is recommended for him to engage in abundant voluntary fasting and charity, for "indeed, good deeds obliterate evil deeds."