I can relate to everything you are saying. I agree with the others that doctors often have no idea the why and how to help. I hope today your exam can give you some direction for relief. As for sleep I have such a horrible time as well. Have you looked into sleep meds to help? Or a med that is for even mood and that helps for sleep also. Sometimes my mind is so cluttered from the pain and life I feel like I will loose it and have made poor choices due to that. Now what I try to do and it is easier said then done but take a deep breath and self talk on how I can get through in a healthy manner. I try to keep my stress down as much as possible. Obviously again easier said then done. Sending thoughts