ok, I see. But simply ignoring my symptoms is not an option for me because it would mean not sleeping at all. And I really mean not at all.

Sleep, for me is extremely important. If I sleep well, it can improve my well being and reduce anxiety. If I don´t sleep, or even if I sleep not enough,
it really tears me down. I get anxious and depressed, my heart is pounding and even though I feel so excruciatingly tired, my body won´t let me relax.
it´s really a horrible state to be in. It can become a vicious circle and it´s all really bad. So for me, sleep is very important.

There´s got to be a way to be able to sleep AND be able to go to appointments.

I was able to until December, to be remotely relaxed AND have appointments, sometimes even multiple in the week and I was doing fine.
I´m not sure what brought upon this worsened state, but knowing it CAN function, I won´t force myself into anything like that.
I think that´s part of the whole problem.
For at least 2 years I forced myself extremely past my own emotional and physical limits. I was anorexic, training ballet for sometimes 9 hours a day while hardly eating anything.
Even after I started to eat more I kept pushing and pushing myself to keep on going, training, studieing working, even though I was completley miserable and exhausted. I was only able to do this because I told myself I "had" to and I forced myself very much.
I continued until my body finally forced me to stop.

Now any kind of pressure or outside "force" easily becomes a "red rag" to me. I always have to watch out not to feel pressured and to listen to my body what it needs. And what I need...