For eight years, my P and I coasted along with the same diagnosis. He is so interesting just to talk with that I often followed the conversation rather than leading it. This time, I wrote down every symptom and every compulsive behavior and my diagnosis was upgraded, my medicine was adjusted, and just understanding my different issues has given me some relief. And sleep is so wrapped up in every area. Bad sleep patterns beget worsening symptoms, which makes sleep more difficult. You might try listing your issues on paper, so you can be clear with your T and you won't digress.