Too Scared to Sleep

[CookieDoughThief]

My DS has had mental health issues for a couple of years. He's had 2 suicide attempts (when drunk) and is now on sertraline, been on it for just over a year.
He seems fine and happy until he goes on a drinking binge then all hell is let loose.
He txts people and winds them up, causes arguments and is a general pain in the ass to his mates
His mates are amazing tho and have bought him home and got him out of many a scrape.
He was with a girl last year who cheated on him. She was pregnant and said it was DS then changed her mind and said it wasn't his. DS took her for an abortion, on her request. This broke his heart.
She was seeing DS and another guy at the same time.
This has broken him and I would say he's obsessed about it. He can't get over her cheating
Well tonight, he messaged the other guy and told him about her cheating etc. He's been to the pub, came home and trashed his room, he's so angry. His mate bought him home and tried to calm him.
He threatening suicide again and although he's now asleep I think how can I leave him alone? I feel like he needs constant supervision.
This has been going on for too long now, drinking, suicidal, then ok for a bit until the next time.
DH has had enough, I'm a nervous wreck.
How can we help him?

I’m really sorry to hear that op. Has he had any therapy/counselling? For a lot of people meds alone aren’t enough

I don't think you can really help him tbh OP.

Alcohol is a depressant, and while it's safe to drink alcohol while taking sertraline, some people say the sertraline cause the alcohol to have a more profound effect on them more quickly. While he's drinking he's effectively undoing all or some of the intended effect of the sertraline.

I think all you can do is try to persuade him to go back to his doctor to discuss this, examine some other options perhaps in terms of other therapies, or even a change of medicine. He possibly needs referred on.

I don't blame your DH for feeling like he's had enough. Sometimes with people in a depressive state the only thing that moves things on is time, and a realisation on the part of the sufferer that they have to change some things themselves in order to get better, but coming to that point can't be expedited by talking therapies, peer support etc.

"Can be expedited", not can't*

Yes he had therapy last year, and apparently spoke to the therapist this afternoon

Thankyou @XDownwiththissortofthingX
That all makes sense. He knows about the AD and drinking and will sometimes go a couple of weeks without a pub visit (he never drinks at home) Of course all his mates drink, he plays a sport so it's drinks afterwards.....
But as soon as he's had a few drinks he's on a mission.
I am dreading what this morning will bring 😫

So today he's gone to work, hes been very subdued and hardly spoken. It's happened many times before and I'm so so tired now.
I'm just going to take a cuppa to him.
Need to get some sleep tonight