Hey I,m new here. a little bit of background. Name is Kyle. Diagnosed in the past with OCD, some sort of panic disorder, GAD, depression, and ADD/ADHD. Honestly the most prevalent issues are ocd and panic, which seem to cause more depressive symptoms and also can attribute to the lack in concentration. I should also mention that i see a psychiatrist 3 times a week to monitor the medications i am on that currently consist of 60 mg Lexapro, 1mg Ativan 3X a day, 105mg Adderal, broken up into 75 mg morning (when I'm awake) and 30mg in the afternoon. I have also recently added .5mg Kolonapin 2X a day in an attempt to cross taper off of the Ativan over time (been taking Ativan for about 6 months.) I would also like to reiterate that because I see a psych so frequently i am under supervision for all of these doses and and very closely monitored, just in case anyone had any concerns about these med (just looking for other experiences and opinions.)

Lately my sleep has been all kinds of out of whack. I have absolutely no interest to sleep at nighttime; should mention its not lack of effort either. Typically i lay in bed for a while multiple times at night tossing and turning with no hope for sleeping. I typically have a good awareness to when i am able to sleep, so i do not waste much time laying around and typically get up and attempt to participate in an activity that is not very stimulating to the mind in order to try to make myself tired. The problem with this is that it makes my sleep schedule all over the place. Sometimes i will be up all day and night - other times and sometimes after episodes of prolonged not sleeping or sleeping very little, I will sleep for a ridiculous amount of time (days like today). Generally well over 12 hours but today hit my highest of recent which was 18 hours (6am to 2 am).

Now my first thought is that my body is catching up on sleep, but this does not always happen after sleepless nights, sometimes it happens when I'm actually caught up on sleep. I just have been working so hard to try to get myself onto a normal sleep schedule, so it can stop affecting my social and productive life. Even if i can manage to get myself to sleep around a somewhat reasonable time and wake up in less than 8 hours, it seems to have no effect on my next nights sleep whatsoever and its very frustrating.

I do deal with a great amount of anxiety and will say that my anxiety has historically been worse at nighttime, but with the medications i have my anxiety somewhat under control(still a bit of a work in process with med and lifestyle adjustments).

I just wanted to see if anyone else had any thoughts or opinions on how to keep things more routine and force myself into a functional sleep schedule.

Final notes - I was previously on trazadone 150 mg for sleep on top of everything else... Okay at first but felt way too tranquilized, or almost inebriated from taking it. I also have a more current script for a low dose of doxepin, however after my experience with the trazadone (i know different categories and different meds) , im very hesitant to give it or any other drug related to sleep a try. Other final note, I quite drinking entirely about three months ago (as i didn't want it to have any interaction with my medications and i was somewhat self medicating/forcing sleep with it) - not one drop since... unless you count non alcoholic beer haha. Still smoke cigarettes, 0 drug use.

Again any help, suggestions, experiences, take are all greatly appreciated.

Thanks,
Kyle.