Hardly slept at a for more than a week. tried, valerian root, melatonin, kava, motrinpm, ambien, and xanax (alprazolam). xanax (alprazolam) helped two nights but does not work now.also tried relaxation techniques suggested.help?

Insomnia: You have tried many alternatives but have tried psychotherapy to uncover the root causes of your sleep disturbance. If not seek a consultation with a mental health professional who specializes in treating insomnia, this could very helpful to you. Best.

Stop the Pills: I would say that it is time to stop all of these pills. Your approach to your sleep fears/obsession/problem is not working. It surely sounds like there is a bit of an addiction problem. But, first you will fall asleep. It is impossible to not fall asleep eventually and then to learn how to sleep again will come next. I often recommend for the long term mediation or breathing techniques to sleep.

Need a detailed exam: Insomnia has many causes from psychiatric causes to hormonal causes. My advice is to consult with your family physician and have him/her run some blood tests and then possibly refer you to a sleep specialist.

Please see doctor: If you're not sleeping for over a week, there are multiple possible causes including bipolar hypomania or mania, intoxication with stimulants, withdrawal from alcohol or other drugs, etc. You need to see a physician -- preferably a psychiatrist -- in person for an evaluation to see what's going on and to get the right kind of help. Best wishes.