No, the meds I take do not knock me out. I don’t know how old you are but I’ve been on the trial and error methodology for 41 years. The meds I listed are really helping my depression. We’re still actively working on the headaches and chronic insomnia. The meds I take at night are the Gabapentin, Hydroxyzine, Memantine and now either Ativan or Ramelteon. So far the Ramelteon has not worked at all but I’ve only tried it for 2 nights, I’m going to keep trying it but I’ve been using the Ativan as a backup otherwise I wouldn’t sleep at all. Why can’t you see your doctor or PNP for another 5 weeks? Especially when trying new drugs. I’m working very closely with my PNP and am seeing her every 2 weeks to try to get my sleep under control as it affects both my depression, anxiety, and headaches. Maybe reach out to your PNP and see if you can’t get in sooner. I hope you trust your psychiatrist and PNP. It’s unusual that your psychiatrist does talk therapy but I have had psychiatrists who have done this in the past, it’s just unusual. I have a regular psychologist that does talk therapy with me every week. Good luck to you. I know how hard the search for relief is. All I can tell you is to keep on trying, there’s not much else you can do. I’m here for you if you have any more questions. I’ve been the Effexor route but that was a long time ago. At the time I was on it, it seemed to help some but not as well as the regiment I’m currently on.