How can you sleep with ptsd?

Oh my, That is one : Difficult issue to deal w. It is important to ensure that you have excellent sleep hygiene. Avoiding or minimizing alcohol intake is essential. There are a number of different medications (& combinations) that can be used: trazodone, remeron, (mirtazapine) atypical antipsychotics, melatonin (sometimes w buspar), tricyclic antidepressants, standard sleep medications etc. Etc. Controlling sleep is a key to tx.

Symptom intensity: The more severe the comorbid symptoms of PTSD, the more sleep is generally effected. Go get a psychiatric referral to be evaluated for PTSD, and mention sleep problems. Also find a reputable psychotherapist who specializes with PTSD issues, and make an appointment to see that person.

Meds plus therapy: Sleep problems are so common among those who suffer from PTSD that it has been argued to not simply be a symptom of PTSD, but possibly, an independent disorder. Sleep medications can help as can CBT-I (Cognitive Behavior Therapy for Insomnia), especially if in the context of overall treatment for PTSD (e.g., Cognitive Processing Therapy). Hope this is helpful. Take care.