Just curious that you were using alcohol as an upper. Alcohol is a depressant and Seroquel is a mood stabilizer. I have been on and off Seroquel for several years. I don't really like it either, but my doctor recently said I was "all over the place" lol. Do you take the quick release or the extended release? I have found that if I take 50mg of regular release Seroquel and a larger dose of extended release, currently 150mg, I am slowly but surely sleeping through the night and if I sleep well during the night (looking at CPAP stats) I'm not tired in the morning. I also take Lamictal and a zillion other meds though so my response to Seroquel may not be the same as yours. One more thought, have you asked the doc if you could be ADD. I am, in addition to all my other issues. I tried Adderal and several other symptoms, but they increased my anxiety. Now I take Vyvanse which is similar but gentler, not such a shock to my system. If I wake up a bit early, drink a cup of coffee and take my meds, I am generally fine during the day. Just a thought? Or maybe Sleep Apnea given the choking and waking. Seroquel and alcohol combo would definitely make Apnea worse. So yeah, I'm not a doctor, I just play one on TV. Don't take my advice as gospel, but just some thoughts you might want to run by your doc. Is he a psychiatrist or a regular doctor?