I'm calling a Ralph death by the end of this year or the next. The last year or two has been a part of a slow suicide whether it's intentional or not to him. The problem with the drugs he is on is that they are SSRIs. If you take brain meds for a sufficient period, you are pretty much on those for life. Tapering won't get you back to where you were before. Ralph is actually increasing his dosage at a rate where an overdose won't occur immediately. The problem is missing a pill as you increase your regular dosage. At the rate he is going just missing a pill every 8 hours soon is enough to be debilitating. He is already having seizures when he misses one and that was when he was on 10mg. He is at 20mg now.
To actually get Ralph back to a stable state, he would need to taper off Xanax and Alcohol. Quiting cold turkey on both would kill him or at the very least be debilitating with a chance of permanent brain damage that will severely impact his quality of life. He is becoming more and more dependent on these substances every day while becoming less and less capable of affording them.