Please let us know how it goes. I'm going to ask for a trazodone prescription from my PCP on Friday, but if that doesn't work, my next try will be ramelteon. I've found that melatonin helps -- it's not enough, but it helps -- so I'm hopeful that ramelteon, which hits some of the same biology, would work even better.

For what it's worth, I've found some success stacking up low-dose melatonin and low-dose doxepin daily, with zolpedim when I get desperate. If you haven't considered low-dose doxepin as part of a routine, you might want to. It's absurdly expensive as a tablet, so ask for it in liquid form. The liquid is not at all expensive (it's normally used as a pediatric antidepressant, so it's intended to accommodate low and flexible dosing). I have found that the key to this stuff is to combine it with the basics of CBTi -- that is, add it to daily behavioral cues that tell your brain it is time to go to bed, and help you get off that mental treadmill of dread. CBTi is not enough on its own, and the drugs aren't enough on their own -- you kind of need both, if you've got a serious history of this problem.