I have debilitating insomnia issues where I cannot sleepFor 4-10 night

How tired are you when you go to sleep?

In other words, how much physical activity do you do during the day?

If you sit around all day, you're essentially resting. Thus your body isn't ready for more rest.

Learned this with my kids: They need physical activity so that they can sleep at night. Started doing it for myself (e.g. trying to keep up with them), and I sleep better. Keeping up with the routine with the grand kids.

Caveat: Don't exercise 1-2 hours before going to bed as your body will still be in an elevated state and has not transitioned to a calm, sleep ready state.

So sorry - I understand.
Have you tried CBT-I for insomnia ?

I've had the same issues. Living in California I had 3 different doctors tell me to use CBD with a low dose of THC. I don't take enough to get high and it really helps. I am concerned though that my memory might be affect by it. But seriously, my memory and cognitive were way more affected every day by my sleep deprivation, not to mention my energy and immune function and I am finally losing some weight. I have to wonder why they didn't do any further testing after a sleep study. I'd love to be able to sleep without it

Sugar Also !!

I am exactly there with you. I am 57, hold a full time job (thank god mainly remote - because I do not sleep enough to drive half the time) I have had to push through multiple projects this week on zero sleep (have not slept in 5 days) and I take care of my granddaughter one day on the weekends. Debilitating insomnia - 20+ years. Severe rebound insomnia when I run out of meds. I've been on everything. Have to get away from the Ambien. Only have trazadone - pretty worthless. I want to cry. It makes me angry. I get extremely agitated, sensitive to light and noise. Can barely interact with people - I feel like they all think I am crazy. No one understands insomnia. I feel like I'm dying sometimes. Body flooded with cortisol from not sleeping, and the elevated cortisol makes it impossible to sleep. It makes me rageful at the world (and everyone who can sleep), and very depressed - about my life, about my future. I have so many goals - so much I want to do - offer the world and contribute- everything is impacted by my inability to sleep. I exercise - have used CBD, have been in CBT. All of it. Numerous sleep specialists. The mind is a powerful thing.

Obviously (like me) if she has been on Ambien and numerous sleep meds she has a history of sleep specialist treatment.

I am so sorry for your suffering. I have had insomnia off and on my entire life since childhood due to abuse. At 72 I have been using "sleep hygiene" practices for at least five years, fish oil capsules, melatonin and magnesium glycinate (most easily absorbed) a cool dark room, all social media off except "sleep stories" from Spotify and other apps. Several months ago my doctor put me on Rx Trazodone and went from waking 2-7 times a night and sleeping an average of 5 or less hours a night to waking once or twice and averaging 7 hours at night. Please get into a therapy group or individual therapy and do see a sleep specialist for advice, you are worthy of living a complete life without all the pain this is putting you through!

@frouke thank you so much for your advise.

Small dosage of Seroquel/sertraline

@eryanfrank Iam curious what kind of “further testing “ you would be looking for, after the sleep study? To my knowledge, the sleep study IS the testing. I am not aware of anything else. If the sleep study showed no signs of serious issues such as sleep apneas or narcolepsy or other serious health problems, then there’s nothing left to test for. We would all love to be able to sleep without having to take anything to aid us but if we could do that, then we wouldn’t have insomnia. We would be sleeping like so called “ normal people”
Unfortunately there is not yet a cure for insomnia and most often the medical community has no idea what is causing it. Be glad that CBD with THC works for you! Lots of people, myself included, have not found anything that is consistently effective.