Hi everybody, since a few months I'm dealing with severe sleeping disturbances from getting 3-5 hours sleep a night to no sleep at all. It usually goes along with palpitations, sometimes with anxiety and I feel very hot and sometimes sweaty. I am then very tired and exhausted by day and, paradoxically, often get wide awake in the evening again. Just in the moment I fall into sleep without problems only to wake up about 4 hours later and stay awake for the rest of the night. I then get up and go into another room and don't watch the clock. Over the day I feel nauseous and weak and have difficulties in concentrating and thinking (not the best as I teach pupils in the afternoon). Normally I refuse to have a nap in the afternoon but it seems to make not such a big difference for my night sleep if I sleep for half an hour in the early afternoon or not. I don't watch TV in the evening nor do I read thrilling books. So my sleeping hygiene seems to be ok. It's not the classic symptom substitution as I have the sleeping issues on top of my chronic pain (so either or would be "nice" but both is not funny). In former times I used to pop a sleeping pill but I don't want to do that anymore because it only reinforces my false belief that I am not able to sleep without some extrernal help. I feel that this could be TMS because even if I was still in pain the last months I did not care about it as much as usual. Now this new issue cought my full attention, so it's obviously TMS, isn't it? Any advice on dealing with this? Ignoring the fatigue and just going on? My husband really hates it, too. I am so thin-skinned and even moody without an adequate amount of sleep and I guess he just does not want to see me crying every morning as soon as I come out of my bedroom any more. Really feel like a total wreck these days.