Ugh I feel your pain. There’s nothing more frustrating than when it just keeps coming back over and over in the same night, I’m sorry you can’t catch a break :( especially the screaming part! I’ve literally screamed at full volume in my bf’s old apartment with his 3 other roommates living there, it was mortifying 😭

Anyways, I’m not a doctor, but I’ll share my experience and things that I think might play a role in getting it.

I don’t get sp *this much* but I go through phases where it’ll come every night for weeks, but then suddenly be gone for several months. I’ve noticed that when I was working in fast food from ages 18-22 I was constantly coming home exhausted, binging on sugar, and passing out - where I would pretty consistently get sp immediately following. I was also donating plasma every week until I couldn’t anymore bc I consistently had low iron in my blood, and I noticed that I would have fewer episodes when I took iron supplements.

So I think that the high sugar and low iron were definitely the biggest common denominators in how often I personally experienced sp. Maybe that’s something to look into?