Jamie, I hope your appointment with the shrink goes well for you. Is this shrink someone you feel a connection with? And has he or she helped you in the past? If you are not sleeping I think as Karen said, ask for a different med to help you. Not sleeping is not good for you when you have other issues to work out. I am thinking of you and hope you get the help you need.
Sending prayers too.
Hugs,
Aurora