Hello @3perfectgirls and welcome to the forum.
You are waking during the night and finding that you aren’t falling back to sleep. As a result, your problem-solving brain has been firing up as it does its job of looking out for you. And, when it has important things to say, a feeling of anxiety often shows up, too.
As you’ve noticed the presence of anxiety, you have also been finding it hard to fall asleep at the start of the night.
There’s nothing unusual or unique in what you’ve shared. It sounds like your experience is telling you that the more you (understandably) try to make sleep happen and the more you try to fight or avoid certain thoughts and feelings, the more difficult all those things become.
As you and @Courtypox shared, it can be hard to live your normal life after nights of no sleep — and with the presence of other health issues that might not even be possible. If it’s not, perhaps there might still be one or two things that keep you moving closer to a normal life versus complete withdrawal.
How have things been going since you posted?
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