First appt with psychiatrist in years

I have been trudging through excruciating depression unmedicated for several years. Have reached a breaking point where I realized I will go one of two ways if I dont get help. Have not had most savory experiences with psychs in the past. Does anyone have any tips?

My sleep is what is driving me most crazy. I sleep very little...maybe four hours and wake up in the wee hours in a panic. Do not take any sleep meds...not even otc like advil pm because they put me into an even deeper hole of depression. But lack of sleep has turned into vicious cycle where I feel like I'm losing my mind. I take melatonin and 5 htp...exercise every day...even considered drinking morning urine ( has anyone heard of this?) because I am that desperate.

Any input?

jul

have a chat with your psychiatrist, actually writing it down helps.
sleep, i am a severe insomniac. but there techniques that help.
meditation, incense and soft music. there are sleeping pills as well, but they are hard to come off. be honest with your psychiatrist, that is key. i wish you well.

with healing compassion,
jamie