Really bad anxiety and keeps me up at night been like this for about a month now and hasn't got any better don't know what to do?

Think med eval.: Talk about feelings & address problems. Don't avoid them. Aim for 7.5 - 8 hours of sleep/ night. Daily physical activity is optimal in a green space. Eat healthfully. Cut out junk carbs, caffeine & alcohol (or moderate). Try Qi Gong, Tai Chi, acupuncture, acupressure, homeopathy, meditation, Yoga, exercise program, deep breathing exercises or Progressive muscle relaxation.

Panic: Breathing exercises work, also self-talk & reassurance until the attack subsides. Gaining control is the goal. Schedule appointment with a therapist to work on cognitive behavior modification. Also yoga & meditation help. Evaluation by a Psychiatrist for possible anxiety medications.

Need treatment: if your having that much difficulty you need to get help. There is medication and therapies that can help you greatly.

Therapy?: Have you yet tried any form of psychotherapy? Typically, the optimal combination of things to treat emotional issues such as anxiety or depression is medication (which, on your best day, is supposed to take the edge off symptoms) but the real gruntwork takes place in psychotherapist's consulting room.

Sounds like your: acute anxiety has now become chronically acute. Not good. Have any medical conditions? Substance or alcohol issues? Big stressors in life? Seek a mental health pro after consulting with a GP to R/O physical causes. Here's a primer on anxiety in the meantime: http://www.psychologyproductsandservices.com/page2.html

Psychotherapy helps: Anxiety is a painful symptom, but it has many different sources and causes for different people. It is analogous to a fever, a symptom of many different illnesses. In my work with people with anxiety and panic attacks, progress begins when patients tell me their family and relationship history, and the history of their anxiety symptoms, and we begin to understand its origins and meanings.

Anxiety: Sleep is crucial for good health so if your anxiety is keeping you up please see a Doctor soon. First have a physical exam to find out if you have an illness. If not, it would be good to consult with a Clinical Psychologist to get help. Medication can also be useful in addition to Psychotherapy.