Emotional Wellness Mary Symmes is the founder of Self Investment Strategies and a life coach devoted to the empowerment of working women. Mary is also a clinical social worker in Alexandria, Va. Visit her Web site at SelfInvestmentStrategies.com Lack of Sleep Question: I'm 43 years old and have been working nights (9 p.m. - 6 a.m.) for the past 4 years. I am ALWAYS tired no matter how much sleep I get. I can usually sleep 3-4 hours straight before I wake up. I try to stay in bed and try to get more sleep, but I can't get back to sleep. I am so tried ALL the time. I wish I could make myself sleep longer. I am afraid of sleep aids. I go to be same time every morning - 7:30 a.m. I have even tried staying up until 9 or 10 a.m. to make myself more sleepier so I can sleep longer, but this doesn't work either. I drink very little coffee (decaf only), about 1/2 to 1 cup every few days. Please help me! Annie Answer: I think you need to consult a doctor as soon as possible. First, you need to rule out any medical reasons for your insomnia, including thyroid or other endocrine problems, clinical depression or anxiety, or a sleep disorder. Sometimes even allergies can affect sleep. It may well be that your body just can't deal with night work, and your circadian rhythms are in desperate straits. A sleep study might prove helpful once other medical and emotional factors are ruled out. Please make an appointment right away, and don't suffer any longer. Prolonged sleep deprivation not only makes you feel miserable, but also has a negative impact on your general health. Get help! Best wishes, Mary Other Recent Questions: I just started a business, and I can't stop worrying I'm worried that my husband may be having an affair. How can I find out? Ask Mary your questions The above is for general information only and is not intended to substitute for professional mental health treatment. Individuals should consult licensed professionals as needed.