I am a 36 y/o f. I was 13 when I started having problems sleeping. Someone walk through my room I was instantly woke up. From there I started having problems falling asleep, staying asleep, and waking up early. I have tried many sleep aids, natural and RX. I started taking ambien CR in december. I only filled the rx once because of the cost. I took my last one and only slept for about 4 hours. Regular ambien I get the same or less sleep time. I took restoril this morning at 9:30 and slept until 1:30 and just laid around until I finally got up, very groggy.I am currently a shift worker, which probably wasn't a good idea, but I find I have no problems staying up all night :) The only thing that has ever help is lexapro. I don't feel depressed but am sometimes anxious. I was told at one point that I was dysthymic. I really don't like taking an antidepressant or other medications on a regular basis. And I try to practice good sleep hygene. Is there anything else that you think would help? Would your CBT help if the problem is caused by dysthmyia?