@jjevitts I’m in Michigan too and had my insurance company in 2019 not allowed me to go to Mayo Clinic I would have been at the University of Michigan for my care. I think you are in a good setting at UM with all the research and expertise available.

I just read @gynosaur42. Her suggestions for what she does when she cannot sleep are helpful. I’m going to try some of these. The skill that works most of the time for me is focusing on my breath. Especially the out-breath. I have to remind myself to do this over and over again and then I manage to drift off to sleep. If anxiety wakes me up again, I do it again. I have a very « busy » mind and it’s especially busy when I’m worried. Just noticing my thoughts bouncing around and then bringing myself back to my breath is such a graceful practice.

It’s good to know that you are surrounded by your loving and supportive family.