Welcome to the forum, johnobri — I am sorry to hear about your ongoing difficulties with sleep.
You said that you are unable to function the day after a difficult night — can you tell us a bit more about that? I am guessing you are able to function to at least some basic degree since you’re still here and you were able to make this post. So, I wonder if there might be some things you could do during the days following difficult nights to make them a bit more tolerable and even a bit more enjoyable?
Have you asked your doctor if they think you’d be a good candidate for cognitive behavioral therapy for insomnia (CBT-I)?
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