I hear you. Insomnia can wear you down. It sounds like you're doing a really good job of managing the anxiety that insomnia can cause which is a huge part of coping with insomnia, so good job :)

I'm wondering what else have you tried? The things that work best for me are managing my anxiety and depression, keeping a consistent sleep/wake schedule, getting some exercise in every day...etc. It sounds like maybe these are things you do already.

Maybe it's time for a sleep study or a sleep specialist?

So at least 'emotional regulations' have worked (whatever that is), and you've got something. That should give you hope.

I'd encourage you to continue to identify and treat the true underlying root causes for your insomnia. As sonny says, an MD who specializes in sleep might help a lot.

I hear you. I have had insomnia for yrs. and have always taken drugs. It's to the point that drugs no longer agree with me at all. If I don't take something that just knocks me out then I don't sleep. I feel like I'm always in an impossible situation. I suffer from depression and anxiety. They cause insomnia and insomnia causes them. I have tried a few supps that do make me relaxed and tired but not sleep. I never feel like I have slept. Can't make any plans to do anything ahead of time. I have other chronic health problems that make me nuts. My immune system is trashed due to candida and leaky gut. Also 2 viruses in my body. I have found that others also have viruses. I can't tolerate any type of treatment for any of these things which makes me wonder how long I'm I going to be able to live like this or just be able to exist. I hate to ramble on but I'm at my wits end and I think you are too. It would be nice to have others to talk to at nite.

I completely understand your exasperation with the treatment options that doctors offer. My p-doc has given up on me because she tried two medications (antidepressants) and all they did was make me really groggy but I couldn't sleep. Doctors only treat the symptoms with drugs but that only gets you temporary relief and you get rebound insomnia. Yet this is the protocol for sleep medicine! I've read some things about candida in your gut and the best solution for that is removing things in your diet that exacerbate it. I drink probiotics which helps get all that junk in you intestines. I eat greek yogurt for the probiotics in it too, but I limit it because of the dairy. Go to a natural grocery store and find a nutritionist (they usually don't charge for the consultation) to find out better food/nutrition to help with this naturally. Hope this helps!