hello, thanks for the query. Before answering your question I would like to know that how are you? In what dose you are taking cipralex & do you feel energetic, happy & able to follow your normal lifestyle with cipralex? Based on your description about your son, constant shaking hands, irritable behavior, unemployment, rebelliousness are a strong pointers towards addiction or illicit substance use. Hence, first & foremost you need to covertly keep a watch on him, his activities, his money spending habits etc. are there any unexplained thefts or financial loses at home? After ruling out substance use, we need to screen him for depressive illness or a psychotic illness like schizophrenia which can also manifest similar behavioral problems. Based on your current locality, your regions policy on mental health; you need to either persuade him to get Psychiatric help or try for involuntary psychiatric hospitalizations. Hope this helps, good luck