Should I go, or wait?

I just don't know how "relaxing" the hospitals are around here - I remember the one I detoxed in for alcohol a few years ago and it was a nightmare of a place - nothing "Girl, Interrupted" about it - not real keen on repeating that experience. But I am at the end of my rope, so to speak... I just can't sit still anymore, and the thought of work tomorrow is completely freaking me out. I'm functioning less and less rationally and it's getting more noticeable I think.

Stop making excuses and just go to the hospital.

You need to sleep or you're going to die from exhaustion. Have you told your pdoc you haven't slept in a few weeks? I bet if he knew he would have immediately suggested you go into impatient care. At least the hospital can monitor you and medication intake until you find a dose of something that will allow you to rest.

My doc is now experimenting with me and different cocktails including Seroquel now - still have put off going to the hospital (sorry confusedinomicon) and have gotten about an average of two hours of sleep the past few nights of trying the addition of the seroquel. Isn't it supposed to knock me out?? This is my first experience with it - any advice or experience to share? It's now been about 8 weeks of sleeplessness and my doc knows it...

Honestly, you are probably taking a dose that is not potent enough since you're starting off. Your doctor is a little negligent, too. Just because you're competent and not experiencing active mania doesn't mean you shouldn't be hospitalized. From your responses I cannot tell that you've been deprived of sleep. You type coherently and with structure. I haven't read anything about hallucinations from you (or maybe something minor) and you seem to have a grasp of what is going on around you. It's actually pretty amazing and probably rare.

Also if you're at the hospital it would be easier for them to increase your dose in a shorter amount of time. Also, I think you need something heavy-duty. I think going up on medication at your home will be too slow. Maybe call your pdoc and ask him about an increase?

Have you tried physical activity?

I have tried exercise - that started week one of lack of sleep. And I do appreciate your input! I do have some mild hallucinations, just corner of the eye stuff and double-takes on what I think I see (if that makes sense). I have no clue how I'm functioning as well as I am, no one does. It's bizarre. I've been working too (barely...)

We decided to hospitalize today - I think you're right about the heavy-duty drugs, they are definitely called for and in order. But I'm packing a bag and going. Thanks again!