Dude you said it for a lot of us sleep is the real cause, or the biggest consequence and "maintaining factor" for our AF. OF COURSE the deeper cause is being born in a cursed body that has the neuroquimic characteristics that make one negative, overworrier, obsessive, addictive and all of those gifts.

First we gotta restore refreshing sleep but I haven´t succeed yet on that. For many thyroid and adrenals are the key for sleep. I have to give it another go with the adrenal supplements in the correct forms so I can tolerate them (ascorbic acid equals diarreah).

In all honestly I feel very numb and my life is more dream-like than ever, but I really really think this is simply because I don´t sleep properly.

Sweet God it is horrible isn´t it? Years go on with this torture when you are not lucky enough to get some proper treatment. I think about killing myself constantly, but a couple of things prevent that, not the least the fact that somehow I feel like if you suicide your problems do not just fade, you have to face them (I have reasons to believe in the afterlife, or in the quasi-inmortality of consciousness).

This happened to me, the meds have made it worse, definitely.

Its pretty normal with AF, no energy, have to push yourself to accomplish anything, then so wired (because of the adrenaline being made to compensate for low cortisol) you cant sleep at night and resort to prescription meds. Been there lived in the t shirt for years.

I would get off the Remeron, slowly, and only then can you truly start to rebuild.

Maybe a call to the Clymer Healing Centre might help? You can work with them over Skype, Dr Poesnecker wrote Chronic Faitigue Unmasked. They are slowly helping me get my life back.