After a flurry of troubling tweets this week - some of which resulted in Twitter suspending his account for 24 hours - the 43-year-old rapper raised concerns even more on Friday as he posted a message about 'going to war' and his fears of being murdered.
Just two months after Kim and Kanye had marriage crisis talks in Wyoming, it seems that again the 39-year-old Kardashian is struggling to keep her marriage together as sources revealed Friday she's 'at the end of her rope'.
'He's off his meds,' an insider told PEOPLE. 'He promised he'd stay on them. The last time, part of his negotiation with Kim was that he'd get back on his medication and he would work very hard to control his impulses.
'He made a lot of promises. And now those promises are broken, less than a month later.' they added.
Kanye and Kim wed in 2014 and share four children together, daughters North, seven, and Chicago, two, and sons Saint, five, and Psalm, one.
And Kim reportedly feels like 'she can only take so much' as her husband of six years appears to be going through another bipolar episode.
'It's the same thing over and over and over again,' the source said. 'He's on very thin ice with her right now, and she's truly trying to decide what to do to protect the kids, but also her own sanity. The whole thing is discouraging and difficult for her.'
The E! star was apparently taken aback by Kanye's latest tweets and wants him to 'take care of his own health'.
'She can't force feed him medication. She can't make him do anything he doesn't want to do.' the source added.
Early Friday morning Kanye concerned fans as he shared - and then deleted - a troubling tweet in which he expressed paranoia about being murdered and having his eldest daughter taken away from him.
'NORTHY I AM GOING TO WAR AND PUTTING MY LIFE ON THE LINE AND IF I AM MURDERED DON'T EVER LET WHITE MEDIA TELL YOU I WASNT A GOOD MAN... WHEN PEOPLE THREATEN TO TAKE YOU OUT OF MY LIFE JUST KNOW I LOVE YOU.' he wrote.
Along with the message Kanye shared a photo of his eldest daughter looking playful and throwing up two peace signs.
The couple seemed to be back on track last month as they took a make-or-break vacation together with their kids to the Dominican Republic and then camping in Colorado.
Before the trip, Kim addressed her husband's mental health in a length Instagram message, asking fans for 'compassion' and calling the situation 'complicated'.
In an interview with Vogue last year she revealed Kanye didn't like taking medication because it changed him too much.
'For him, being on medication is not really an option,' she said at the time. 'Because it just changes who he is.'
Earlier this week the hip hop producer's Twitter rant got him suspended for 24 hours.
Among his many posts he shared a video of himself urinating on one of his Grammy Awards and posted a string of messages about his battle with record labels Universal and Sony - including screenshots of his contracts with the former.
On Wednesday, Twitter removed one post featuring the personal phone number of Forbes' Chief Content Officer, Randall Lane.
Once the suspension was lifted, the rapper was tweeting again on Thursday, taking aim at the music industry and calling on artists to unite to change the system.
It was reported this week that Kim was trying her best to support the Yeezy designer.
'Kim is holding onto her marriage with Kanye and knows that he bipolar and struggling with his mental health and wants to be there for him and help,' a source told US Weekly.
'She is continuing to support him and does her best to understand him and where he is coming from. She knows he is unconventional and has always known that.'
Kanye first acknowledged his bipolar disorder in 2018, a condition that is associated with episodes of mood swings ranging from depressive lows to manic highs and can be controlled with medication.
The KKW Beauty mogul has stayed relatively quiet as the rapper embarks on his unlikely bid for presidency. Fears for his mental and emotional health were raised when at his first campaign rally in South Carolina he tearfully revealed he and Kim once discussed aborting daughter North.
Following that, the Runaway hitmaker ruthlessly lambasted Kim and her famous family on Twitter.
During the aggressive tirade, Kanye alleged that Kim was trying to 'bring a doctor to lock [him] up' and compared her mother Kris Jenner to North Korean dictator Kim Jong-un.
He even admitted to his followers that he had been trying to divorce Kim for two years.
Kanye later apologized to his online audience and to Kim for the out of line tweets and he has since left talk of his marriage off social media.
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