So sorry to hear you're going through all this, but we in this group can all relate. We've all been there, done that, maybe not to the degree you are, but many of us have found solutions.

In your case, and given your description, suggest you continue to work with your psychiatrist. If you're not getting the results you want, consider asking for a referral to an MD that specializes in sleep.

Wondering if you've ever tried CBT sleep training methods. They are the gold standard and enable you to approach the problem from a non-drug and non-psychiatric perspective. Using CBT, you can comprehensively address all the negative thoughts and bad sleep habits that tend to perpetuate the problem.

Rest assured there are solutions that will help you.

gops, I can relate and so can many people here. Please don't give up! I have had my problem since 26 and I'm now 50. My problem is severe, I have had months with only light sleep. Yes, people say they at least get something most nights, but I have had zero deep sleep for very long periods including through two pregnancies. It is VERY tough. But, through all of that, including implementing all the wonderful suggestions here by folks, I have found the best thing is to try (and it is not EASY) to go on as normally as possible and every time the fear and anxiety comes about sleep, immediately draw your attention to some other detail whether it be about your surroundings, the news, just something else. It is an awful, vicious cycle. You know when I look back at it all, the one thing I can say is I have good memories with my loved ones even feeling like total $#%&. I refuse to let sleep deprivation steal that from me. And I will not let it stop me from doing things no matter how I feel or look. Sometimes, I just laugh at my insomnia to give it the message that it has no power over me. I remember a very wise psychiatrist saying to me "well, if sleep is that important to you..." and she is right to an extent. Try and minimize the importance of it, tell yourself you don't care about it. Easy to say when the physical symptoms are terrible. So to deal with the physical, I will take things for the headache, use eye drops to help my eyes, and if I feel dizzy, I will lay down. They say no napping, but I never lay down intending to do that. Just to "rest". A doctor recently told me that laying down is still resting the body so despite the quality of your rest, you ARE still resting.Also try to force to smile everyday and if you can, laugh about something. I think having a benzodiazapine on hand for the very desperate times is not a bad thing. I always have them and do resort to them a few times a week. Others who have tried CBT say it really works so have you given that a shot? I know this can feel like a very lonely problem. I struggle with this too as most people seem to sleep just great. But this is a place where you can connect and know you are definitely not alone, there is hope and that life is well worth living. Don't let it win! God Bless and you will be in my prayers!

Gops,

Don't give up. We are all tired of this, but what can you do. I woke up in the middle of the night again, as is now customary, and not even my benzo managed to put me back under. I also feel hopeless, but I'm still looking forward to the next night, perhaps it will be better.
Also, I haven't yet used up all the options people here suggest (exercise, for instance, seems like a good idea, I just didn't find the time yet), so I'm hopeful something will help.

Also, there are dozens of pills and combinations, I'm sure you haven't used them all up yet. It's not a popular route to take, bit there are people who found good combinations that help for long periods.
Of course going without pills is the best option, but when nothing else helps, it's good to know they are there as a possibility.

Living with insomnia is difficult, but there are days when things are OK. Live for those.

Many supplements can cause insomnia. If you suffer from overstimulation, avoid Gingko, Quercetin, Bacopa,also b12, B6 and folic acid gave me insomnia. I have just stopped taking fish oil which was giving me insomnia. I am sleeping massively better after stopping most of my supplements.
Gotu Kola and Bacopa, lemon grass essential oil are used to increase alertness (they inhibit the sleep urge so avoid these like the plague). I work for a university and have trained in research so have been able to research supplements.
Many supplements increase dopamine eg ashwaghanda (not good for many insomniacs), and/or they inhibit adenosine which is needed to create the urge to sleep. Check these out on Google Scholar if you cant access academic research. The supplement industry is making a fortune out of our anxieties - they have side effects just like the pharmaceutical industry products. I have been on mirtazapine for a decade (with side effects). The mirtazapine was mainly to counteract the insomnia and overstimulation effects of the ‘healthy’ supplements I was taking. I feel like I have been taken for a ride by the big bucks supplement industry. Some supplements obviously are helpful but don’t believe any old tosh they tell you. The supplements industry isn’t regulated and they don’t have to publish (or even research) side effects of their big money making products.

Ambien and trazodone works for me but you are not alone i have had insomnia for 10 years now and finally sleep 6 to 8 hours . seldomly i have sleepless nights but it has improved since