Burnout at work not sleeping well doc prescribed lorazapam and zoloft (sertraline) but need alertness aren't these sedatives and alter brain chenistry?

You might try: Trazodone instead of the Zoloft, (sertraline) it will help with getting to sleep too. Benzodiazepines will help you get to sleep, but you will then need them every night and have bad effects long term. If you're depressed and not sleeping well you won't be alert.

Your medication needs to be managed by a Psychiatrist. If you are not confident in your Dr. please see another for a 2nd opinion. Medication alone may not be enough. Please see a Clinical Psychologist with expertise in multiple types of psychotherapy to help. A complete physical exam would show if your symptoms are due to a physical illness. You may need a sleep study prescribed by a Dr.