How would I know if I need a psychiatrist? The recent break-up of my 9 year relationship is making it hard for me to sleep, work, move on and be happy. The work stress related and I know I constantly disappoint my mom because Im a failure. I make bad decisions and this recent break up made a huge dent in my everyday struggles. I just want to be able to sleep because Im too tired. I would fell asleep for a few hours and then I would suddenly wake up sometimes in panic or sometimes Im crying.