Do you think pioneer women had 'peri-menopause'? No, they just got on with it. Next time you get a bit emosh, close your eyes and imagine it's 1840.
Have you ever thought of reading some history instead of just spouting about it?
People had MH problems in the 19th century. In fact, that is where a lot of modern psychiatry started developing and specialised institutions were built- presumably not because they foresaw it would become needed 180 years later, but because it was needed then.
Poor people develop MH problems.
In particularly stressful places, such as refugee camps, MH problems are rife: ask any medical aid staff.
The myth of the jolly no-nonsense, no nervous nonsense people of the past/"the third world" is just that, a myth. All it means is "I can't imagine that they were real people, as vulnerable as you and me". It's like when people used to say servants have no feelings.
Yes, the OP said a bloody stupid thing with her "mine is physiological, his is mental" and speaking as the menopausal mother of a child with "mental" problems I very much hope she never says a
anything as bloody stupid in her life again.
But otoh, she is dealing not only with her own health problems and her husband's health problems but also with a husband who drinks. That is a lot to cope with and it is harder to deal with an ill person who seems to exacerbate his problems rather than seeking help.
OP, hopefully this will act as a bit of a wake-up call for both you and your husband. He is not coping, his problems are real, but he owes it both to himself and to his family to try to get help.