So I'm back to 4 hours of sleep again. It had improved for about a week to 7 hours.

I think I know why it is happening. It could be the Lamictal, I just increased the dose a little (following pdoc's directions).

I'm still not convinced my family can dictate when I take a shower. I take a shower after the gym twice a week. I know it's not much but better than how it was when I was feeling really low.