Welcome to the forum, Leslie. Right away, I see a golden opportunity for you to spend less time awake during the night, struggling with sleep — you might start going to bed a bit later to help build more sleep pressure and reduce the opportunity for long periods of nighttime wakefulness.
At the current time, when do you usually go to bed at night, and what time do you usually get out of bed to start your day? How many hours of sleep would you say you get on an average night?
Calling in sick to work and canceling vacations is a completely understandable reaction to insomnia but can sometimes make daytime fatigue worse and increase sleep-related worry and anxiety since we have less opportunity to shift attention away from sleep, we become more sedentary (which can promote and intensify fatigue), and we guarantee that a difficult night of sleep has a negative outcome.
Ultimately, I see a number of opportunities for you to address the common thoughts and behaviors that perpetuate insomnia — I would really encourage you to explore the theory behind cognitive behavioral therapy for insomnia (CBT-I) techniques so you might be able to make some changes that will improve your sleep for the long term.
I hope this helps!
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