Nightly wake ups q 2 hours x4 years. heart racing, adrenaline surging. no nightmares, apnea #s low, moderate caffeine. no particular worries. meds dont really work. cant control, dont understand. options besides anxiety?

Getting good night's sleep is important for physical & mental health. Insomnia might be due to several reasons. Have a physical exam to rule out illness. If cleared consult with a Clinical Psychologist with expertise in multiple types of psychotherapy that helps you benefit from medication prescribed by a Psychiatrist. If uncomfortable with your Dr. seek 2nd opinion. You may need a sleep study.