@Blue_Bird

When do you see your pdoc next? If you don't have an appt soon, can you call and leave a message? He should know about your lack of sleep. You are absolutely right in that it can lead to psychosis. Seroquel usually works for me, with trazodone thrown in to keep me asleep. Have you tried melatonin? I never had much success with melatonin alone but I did OK when I took it with valerian (that was when I was pregant and off psych meds). Valerian is an herb that stinks to high heaven though.