I'm a physician with chronic insomnia and lately i have been worsening. i take no meds because i cannot be sedated if i am needed. options?

See below: Have you had sleep studies done? Meanwhile, establish time when you would like to go to bed. Create a bed time routine: warm showers, room on a slightly cooler side. Learn relaxation exercises to help put your body in a "i';m sleeeeeepy mode" :). Don;t use your bedroom as your office -- use it for sleep and sex. Good luck!

Melatonin: As you probably already know, melatonin is taken by many people because it does not have the more sedating effects or morning "hangover" feeling of other sleep meds.

Even MDs need Meds: Just because we are mds, it does not mean we a immune to health problems. The choice is between functioning with the handicap of chronic insomnia or finding a treatment that helps you sleep better and be a more effective physician at work he next day. As you probably know, there are many ways to effectively treat chronic insomnia. It's worth a shot. Good luck!

Insomnia help: Try 3mg melatonin 1/2 hour prior to sleep you can take two if needed. This will help reset your internal clock. Also make sure there is no light source near you including a flashing alarm light. You shoud have a sleep test done sometime too. My guess is that your mind is very active when you sleep. Also women as they age are at rick for insomnia.