I agree with Hankster on this one. Your T is documenting that he has voiced his concern in the off chance that you do become psychotic due to lack of sleep (which is a known result of insomnia). A child is involved and if he has any concerns, he really has to be sure he's covering his bases. He is probably also wanting to be sure you are being realistically aware of the seriousness of the possible results of your insomnia on you, and your grandson, should the insomnia issues lop over into your time tending to his care. Insomnia isn't just a problem for people with DID. I have bipolar disorder and absolutely know that if I go without sleep, psychosis is a distinct possibility, and psychosis and childcare don't mix very well. Consider it a heads up. Of course you or I would never mean to harm anyone, but you or I under psychosis? I don't know about you, but I'm certainly not in my right mind if I am psychotic. I am pretty certain my T and my pdoc and my family would intervene and take precautions if that was the case. But you aren't psychotic right now, so just take it as a heads up rather than a betrayal. T's and pdocs have an obligation to bring us their concerns, and when the welfare of a child is involved, the obligation is all the more stronger.