I'm not Alifalijohn, and I'm still keen on reading what you have to offer.
Here you go......
Hey alifalijohn, So sorry to hear of your struggles! I totally get where you are at! It SUCKS!! You are a little over a month in, and that's a bad time. I am glad you reached out to me. BTW, I am by no means an expert, all I can share with you is what worked for me.
Early on, like where you are at, meds played a big role in helping me sleep! Problem was, it took awhile to find the right med for me. And I have heard that from many others. Everyone responds differently to different meds. Find a good psychiatrist that is familiar with T, and with whom you feel comfortable. Be very honest about what you are thinking and feeling, and about any and all other meds/drugs you are using. Work with your psych to find the right med/meds to get ou stabilized and get your sleep back. Out of all the meds I tried, Remeron (mirtazapine) worked the best. I still occasionally use. It got me to sleep, and I most often didn't wake up groggy or "hung over".
Beyond meds (or in addition to), you need to find ways to get naturally tired. Exercise is the best way. I know it seems almost impossible to think about exercising because of your sleep deprivation and depression, but you have to push thru that. Start even with just walking or treadmill/elliptical for 30 minutes or so. Whatever works for you, but get your body tired!!
Masking: experiment with different ways to mask the noise of your T as you try to fall asleep. Super important!! My T is extremely high pitch and volume. So it took me awhile to find the right masking. White noise machines work for many folks. Hunt around here on TT, search "masking" and you will find alot of good suggestions and even some downloadable masking devices. In the end listening to traditional Chinese Pan Flute Music (on Pandora) is what worked/works for me.
Breathing exercises & stretching. Just prior to laying down to fall asleep (which you must convince yourself you WILL!), take some dedicated, relaxed time to do some deep, deliberate breathing exercises (you can find plenty of styles online), in conjunction with some slow solid body stretching. "Prepare" your mind and body for sleep. This really works, but you have to be in the right frame of mind first.
Your (and my previous) anxiety/depression is a result of our limbic system interpreting the perceived noise in our heads as a
threat. I know it sounds near impossible, but we need to reassure "ourselves" our brain that, while out T is a nuisance, it will not harm or kill us!! During your breathing and stretching, and even meditating, we need to be focusing one that one goal. Reassuring our minds that the T is just a pest and not an Ogre!! You can do it!!
These are the general steps I took to get myself into a healthy sleep pattern. And take what you can at first! As I practiced these things daily/nightly, I started getting 4-5 straight hours, then after awhile 5-6 hours etc... our bodies are amazingly adaptive, and you will find you are able to operate OK with less than 8 hours a night.
I hope this helps!! As I mentioned earlier, spend time here on TT exploring around. There is so much good information and so many great people!!
Peace to you!!!