Our expert says:
The last time I looked, there were over 85 different sleep disorders, and just about all of them can present as one or other form of insomnia.
The sleep laboratory is focussed on determining conditions causing excessive sleep, not insomnia, so it was to be expected, perhaps, that no significant result would arise.
I would most certainly not recommend that you experiment with melatonin, and sleeping pills are probably only going to create a dependency on the medication, but are unlikely to have any long-lasting benefit.
You really need to be examined and treated by someone who has training and experience in the management of sleep disorders. Many of these conditions are best treated using behavioural techniques - so-called Cognitive Behavioural Therapy for Insomnia (CBTI). Hypnosis does not have good results.
But the first issue is going to be what type of sleep disorder you have. The fact that you have responded, at least to a certain degree, to an antidepressant, may be significant. But please get to see someone with expertise in this field. It is becoming a very specialised field and, with all appropriate respect to your doctors, is generally outside the field of training of almost all GPs, and even most psychiatrists.
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