This may not make complete sense, but I issue a grand "STOP!" demand. That actually works, on occasion. If not, I try certain types of distraction and sleep hygiene. Often I'd go and get a yogurt to eat and then put on my sound machine to help interfere. If that also doesn't work, I take an Ativan. Last resort, but it usually finally does the trick. By the way, welcome to the forum, mssweatypalms!

What has been (or is) one of your frustrations, in terms of therapy?