Hi Christie, Having transitioning front and center would seem like the predominant reason for your insomnia and right behind this medication from surgery. Although when I have insomnia from time to time it's for different reasons, I can't shut my brain off, will lay in bed with my brain very active contemplating a problem associated with a problem (or as I think of it as a challenge) say with writing code for software at work. The thoughts are undeniable in that it's not subconcious. I am sure for you and many like you there are indeed so many things going on right now that can overwhelm the brain to fold into your new existence as a female. Seeing a doctor or therapist should be at the top of the list for solving the core issue but I recommend adding something into your life that might help take your mind off of all the things weighing hard on your mind. Having a friend that will stick by your side, do things with you is critical more than you can imagine right now. If you have one, get out with them and do things without dwelling on your transitioning. Go out for walks sometime in the early evening let your mind go free. Most people don't have a diet that is conducive to good health, look at changing yours and remove things in your diet that can cause you too have to much energy in the evening, yeah, been there done the wrong thing and paid for it, usually too much coffee. If this has been going on over seven days try sleep aids, follow the instructions and see what happens over a two or three day period, if not helping make an appointment with your therapist and talk with them. They will know what questions to ask and your task it to be completely honest with them. As my doctor told me (and I have written about this), transitioning, including GRS is one of the toughest things a human can do which means we will not come through this larger than life event unscaved, there will be battle scares that take time to heal or not heal which is why having a therapist is essential to your well-being. DON'T allow yourself go to that "dark place" in your subconscious because you did not or waited too long to see your therapist (and I have to say this) and don't ever consider self-medicating as unlikely as it may be in your mind. Once the brain latches onto what appears inescapable it becomes hard to climb out of it which leads to things I don't have to write down here. DON'T dismiss this as something that will pass if over a weeks time you still can not sleep. DO address the issue now and prevent permanent mental scares for following you through the remainder of your journey I have said this before, go to a quite place and self-evaluate yourself. Do I really need to transition? Is this right for me? then we have "I am out, how could I ever move backwards" I think many will think "I must move forward", it's human nature to want to continue and tough it out but that can have us be even in a worst place. Your at the presupus of a possible new life, outside the door ready to enter into an entirely new world, think long and hard in that quite place as right now my guess is your brain is going into self-diagnoses at bed time because you are not otherwise. Of course I am not someone who is a medical professional so take my advice with a grain of salt yet at the same time I have been on this Earth for close to sixty years in that I have life experiences of my own and known and read about others that assisted me in what I have said. Best wishes on resolving the issues behind your sleepless nights