OMG. That is horrible. I know all too well how lack of sleep can ruin everything else you are trying to work on. I actually get completely confused and disoriented when I can’t sleep for 3 or more days. It’s a horrible vicsious cycle. There’s got to be someone else you can reach out to, that’s my only suggestion. Even your primary care physician or try an online provider. Good luck to you. I’ve been trying the Ramelteon with no results but I do have Ativan as a backup although it only works at 1 mg if I take it with my Gabapentin and Hydroxyzine. It’s extremely frustrating. I had to fire my last psychiatrist because I couldn’t get in for a follow up appointment for 3 months. And I go to a University hospital that is normally excellent however their psychiatry department sucks because I have to see a new psychiatrist every year. The last one who is very young, gave me a strange diagnosis that didn’t even make any sense. I’ve been seeing psychiatrists for at least 30 years, in and out of hospitals, until I found a great one in Colorado Springs who finally retired and I’ve been in search of another good one with no luck. I finally got into see one who wanted to put me back on Seroquel for sleep after I told him I had developed Tardive Dyskinesia from it. He said that was highly unlikely and I knew then that he was inept. So it really depends on your provider. Sound like you need a new one. Don’t be afraid to advocate for yourself. If you don’t, no one will. Good luck.