Need advice

I was with my ex for 4 years. We had lots of problems. I broke up with him last April. He been texting me and calling since then. He stayed the night a couple of times and still wants to work on things but the way he wants to do it is by moving back in with me. He has bad ptsd. Before we broke up he was working on his ptsd. After we broke up he tried to keep working on it but couldn’t get to his appointments so he stopped working on it. I stayed with him once and lately we been talking better. My family thinks he is manipulative. I do care about him but I want a healthy relationship. He is 36 now and I am 24. He is my first boyfriend. Can things get better or will they only get worse if I give him a second chance?