There are other things that can help. A lot of people have used seroquel to help with sleep and mood stabilization. It also reduces anxiety, for some. Maybe the psych already has some alternatives for you that he hasn't discussed with you yet. Don't give up on the AD if it's helping. There are ways to handle the side effects. My solution for sleep is 100mg of trazodone. Maybe something like that would work for you. I'm not recommending any specific drugs, just letting you know there are safe ways to treat the insomnia that won't interfere with your cymbalta. Hang in there and GOOD LUCK! You'll beat this depression, anxiety and insomnia if you don't give up!