Hi there,
A detailed medical and psychiatric history is always needed for every patient.In addition, detailed mental status examination is also recommended for every patient to come for a diagnosis and its management accordingly.
It’s always important to know why the sleep impairment is happening.You started at the age of 14 years, right?
There are many causes when sleep impairment is a symptom and others it is secondary to some psychological disorders or medical causes.Sometimes the drugs can also cause dependence and tolerance.
Detailed history is needed and some of tests are also needed.
Be positive in your thoughts.
Go to bed with relaxed mind .
Avoid coffee and other stimulants after 6 pm.
Next Steps
Discuss your problems with your mental health professional. And take medications under supervision.