Brief Answer: Stop self medication,seek Help Detailed Answer: Thank you for asking! Sleeping difficult AKA insomnia is a very common trouble and As many as 95% of Americans have reported an episode of insomnia at some point during their lives. i want you to know that insomnia needs to be worked up with a detailed history and physical examination by a competent psychiatrist instead of just random sleep aid pill use by using following criteria devised by American Academy of Sleep Medicine (AASM) guidelines. -A general medical and psychiatric questionnaire to detect comorbid disorders -A sleepiness assessment, such as the Epworth Sleepiness Scale -A 2-week sleep log to define sleep-wake patterns and their variability -Timing of insomnia -Patient’s sleep habits (commonly referred to as sleep hygiene) -Presence or absence of symptoms of sleep disorders associated with insomnia - a review of systems. -A thorough psychological history for psychiatric disorders, focusing particularly on anxiety and depression. -A family history with particular attention to the following: -Risk of fatal familial insomnia (FFI): Though rare but should be considered if first-degree relatives are affected -Risk of heritable conditions that may contribute to more common causes of insomnia (eg, psychiatric disorders) -A social history addressing the following: -Transient or short-term insomnia: Recent situational stresses -Chronic insomnia: Past stresses or medical illnesses -Use of tobacco, caffeinated products, alcohol, and illegal drugs -The medication history focusing on agents that commonly cause insomnia, such as the following: Beta blockers Clonidine Theophylline (acutely) Certain antidepressants (eg, protriptyline, fluoxetine) Decongestants Stimulants Over-the-counter and herbal remedies -Physical examination for underlying medical disorders predisposing to insomnia.Specific recommendations include the following: -History suggestive of sleep apnea: Careful head and neck examination -Symptoms of restless legs syndrome or periodic limb movement disorder or any other neurologic disorder: Careful neurologic examination -Daytime symptoms consistent with a medical cause of insomnia: Careful examination of the affected organ system (eg, lungs in chronic obstructive pulmonary disease) And in the end some detailed work up like Studies for hypoxemia Polysomnography and daytime multiple sleep latency testing (MSLT) Actigraphy Sleep diary Genetic testing (eg, for FFI) Brain imaging (eg, to assist in the diagnosis of FF. Once all dots are connected then it would be wise to have complete treatment plan devised by the psychiatrist from medicines to rehabilitations, Cognitive behavioural therapies, Sleep hygiene education, relaxation therapy, Stimulus-control therapy, Sleep-restriction therapy, combined CBT and sedative-hypnotics therapy,Acupressure therapies , And diet modification therapies like Avoiding caffeinated beverages in the late afternoon or evening,Avoiding alcohol in the evening,Avoiding large meals near bedtime, particularly with gastroesophageal reflux disease or delayed gastric emptying. Exercise therapies with in the late afternoon or early evening (at least 6 hours before bedtime) can promote sleep. However, vigorous physical activity in the late evening (< 6 hours before bedtime) can worsen insomnia. I hope you see that in a right perspective.Seek a near by sleep center having competent psychologists team to help you with the sleep. Don't use olanzapine for any reason and not to start with at all. It is the late stages medicines when normal simple sedative hypnotics and other therapies stop responding. I hope it helps. DOnt forget to close the discussion and take some very good care of yourself. May the odds be ever in your favour. S Khan

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