Poor Qusality Sleep on ASV Machine Question

The ASV's morning report should be all you need to convince you to stay on it. Your sleep problems are another matter, and you need either coaching or referral to a sleep lab to see if you have developed other defects or another disorder quite unrelated to your apnea. Or, maybe your current ASV's therapy needs some tweaking. If you haven't done so already, would you consider going over to apneaboard.com and registering? Then, present a brief synopsis of your recent history, what diagnosis you have, how it is currently being treated, and what other improvements the gang there might offer. It may be all you need to get ahead and to dial in some great sleep. Note that the gurus there will want to see a redacted somnography report, if one was done, or a formal diagnosis, but at the least they'll want to see some recent hard data. There is a freeware on that site that is excellent at interpreting your machine's data. If you go to the top masthead, you'll see, mostly toward the right, 'OSCAR'. Click on that and you'll find the information and download. Note also that you would need to remove the SIM card from your machine, if it has one. You'll need a card reader or to use the appropriate slot in an older PC/laptop's panels.
But, if we can assume your sleep is therapeutically controlled now, and that you are much better off, it is most likely that you have something else going on. It might not be apnea, but arousals, hypopneas, flow limitations of some kind that prevent you from moving through the various stages of sleep. In time, this condition can be debilitating. So, someone, some bright bulb, will need to see some hard data in order to figure out what is defective or inadequate. Apneaboard might help, or another sleep lab if you need it/haven't done one yet. Maybe all that is at play is generalized anxiety over the changes you've had to adapt to. They must not have been spectacularly fun.

I have sleep insomnia and have for years I still have trouble sleeping and have not found anything that helps I have been to a sleep lab but all they want to do is antidepressants I am not able to take makes it worse my mind never stops working anymore have some good advice

Hi [@inquirer2],
I can understand how frustrating that must feel, especially after trying both CPAP and ASV without real improvement in sleep quality. It’s good that your central apneas went down on ASV, but poor sleep can sometimes come from other factors too, like mask comfort, pressure settings, sleep hygiene, medication side effects, or even other sleep disorders such as insomnia or restless legs.
If your current doctor isn’t helping you dig deeper, you might consider getting a second opinion from another sleep specialist. A full sleep study while on ASV could also give more insight. You deserve more than “let’s talk in a year” when your quality of life is being affected now.

Have no help to offer. I wish I did. For me, sleeping connected to devices pumping air into me, just interrupts something I am usually good at -- sleep. Yet, all my friends on CPAP have no problem at all. Trying a new mask tonight to see if I can adjust. I refuse to resort to taking sleep aids. I am of the opinion that the less pills I take the better I am. It's a conundrum. But I do feel the CPAP is helpful.