I *just* talked to my pdoc and I talk to her again on the 11th. My therapist said she thinks a lot of it is trauma and BPD stuff and she went through things she wants me to do for "harm reduction" (like, don't drink and drive, use clean needles, use protection, stay hydrated, etc). I went off of fluphenazine, lorazepam, and cariprazine and greatly reduced my diazepam, prazosin, and amantadine.

The fluphenazine and cariprazine were giving me akathisia, so actually harmful for sleep (not to mention insomnia is a side effect of cariprazine). The benzos I've grown a tolerance to so they don't do shyt. The prazosin just kinda made me trade in my PTSD dreams in for regular night terrors (which waking up from bad dreams is waking from bad dreams imo so why take a pill?) and amantadine doesn't affect sleep. My sleep is no different now than it was just before I reduced them.