There are many fantastic doctors and therapists who specialize in PTSD. That’s where the good ones are, but there are only a handful in any given city. I can’t even find one that specializes in it in Las Vegas. You are absolutely correct about sleep. The number one indicator that I’m about to slip into an episode is sleep deprivation. If I haven’t slept a few days, there is a good chance I will become “psychotic.” So what do I need most? Sleep, just as you said. Especially when the body is trying to adjust to extreme chemical changes as they mess with all your medications and dosages. Im woken up in the middle of the night for blood tests. I’m woken every 15 minutes when a flashlight hits my face. If these disruptions didn’t cause me to stay awake – fear did. I was constantly terrified my roommate would awaken and strangle me in my sleep. I was so paranoid people around me were being possessed with demons to kill me. I was too afraid to sleep. Finally, I was awoken up for breakfast. If I wanted to sleep, too bad, I was getting locked in the day room to be forced to socialize. I have so many memories of sitting places with so much discomfort and exhaustion. All I wanted to do was lay on the ground. Someone else actually did it one day. I wished I was that brave.