Major Depression sufferer with anxiety and insomnia. At the height of a depressive episode, sleep no longer exists for me. I once went 52 days without real sleep. They say that is impossible. I disagree. Every 2 or 3 days I would fall unconscious for maybe 2 hours, then I was awake and fighting anxiety again.
My psychiatrist was unable to help me. I was hospitalized for 4 days. Every hour through the night, a nurse would crack the door and do a bed check. I went on report as being asleep. I was not asleep. In effect, my psychiatrist did not believe my reports of insomnia. He had his reports to believe in.
My hospital stay was a joke, and I left against medical advice after those 4 days. I was prescribed chloral hydrate. I took 2 of them and woke up an hour later. I finally went to the library in an attempt to save my life. I read a book or two on insomnia and learned that a small dose of Elavil (Amitriptyline)
produced a hypnotic effect in some patients that induced sleep. I asked my doctor to prescribe it, and I had my first real sleep in 52 days. I slept 8 hours the first time I took 100mg. For another episode of depression with insomnia, I tried the antipsychotic Seroquel. A daily dosage for schizophrenia might be
400 or 500 mg or more. I took 75 mg and in a half hour, I almost couldn't make it to the bedroom. Discovering those 2 meds may have saved my life. Insomnia increase the risk of suicide in depression by 5X, and anxiety by another 5X.
Without restive sleep, you are burning the candle from both ends. Since I had ECT in 2014, I have not suffered any depressive symptoms. I had 5 major episodes in my lifetime, which is the typical average over the course of the illness. I think it is behind me.
If I ever experience insomnia again, I will know what to do.