I cannot get more that 2-3 hours of sleep every night. i havetried all the natural routes and had elavil, valium, xanax (alprazolam). also, there is no psychological component. nothing is helping. what should i do?

What evaluation?: It sounds like you're very uncomfortable here. However, it's not clear what evaluation you've actually had for your sleep issues. Most chronic sleep problems at least induce a "psych component" from sleep deprivation alone, but one needs to review your whole situation before the sleep problem started to discern what's what. Have you seen sleep medicine physician? You may need formal studies.

Formal sleep study: Based on your symptoms and situation, you are in need of a formal sleep study by a sleep specialist. This involves an initial consultation, where your entire medical history is reviewed, including all medications, illnesses, lifestyle, and so on. Then an appointment is arranged for you to sleep overnight in their facility and your sleep in monitored. Good luck!

Agree w need for : Sleep medicine eval. In mean time, use good sleep hygiene. Retire & rise same time each day. Keep bedroom dark & cool & use only for sex & sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs & no alcohol or tobacco w/i 2 hrs of sleep. Keep dinner moderate sized & finish at least 2 to 3 hrs before sleep. Can try warm milk, chamomile tea or melatonin.

Med to consider: I agree with dr koenigsber's recommendation for a formal sleep study a trial on all subsequent recommendations. If a med is still needed, talk with your doctor about trying low dose Chlorpromazine 25-75mg at bedtime.