Hi, Daryl!
Lots of pain and tension in your above posts, but they well document what you're experiencing. This is the kind of material you can use in therapy. Good for you that you found the focus to write it out.
Sleep is so important. If nothing else, try to get help for that. That's not to say you shouldn't try to get help for all you can, but sleep is critical to the foundation on which sanity rests.
Keep posting - but try to get sleep.
__________________
My dog

mastered the "fetch" command. He would communicate he wanted something, and I would fetch it.