Hi Rose,
I am again reading this thread and wanted to mention a couple of things.
I have been an advocate of Adderall when depression is stubborn and nothing else works. I use the immediate release, not the XR preparation. My pdoc swears the XR preparation keeps his patients awake through the night. With shorter acting Adderall, I can decide how long I want the effect, by taking 2 or 3 doses per day, every 4-6 hours. I can time it so the last dose wears off before bedtime.
I have had excellent luck with sleep by using a benzodiazepine named temazepam. I have tried so many approaches over the years. This med gives me quality sleep and leaves no hang-over (in my experience). Dosing is flexible, which can be important for a caregiver.
Please feel free to ask me any questions.
I hope your needs are heard and met in the upcoming appointment.

WC