Dear Welcome to HCM We understand your concerns I went through your details. I suggest you not to worry much. The suggestion any doctor gives here is, provide all the above information to the psychiatrist you are consulting. Work closely with him and he knows your problems. He should be able to provide solutions to your problems. Exercise or work plays a major part in sleep. If you work more and exercise rigorously, you shall get sleep. Otherwise, also you sleep. But the sleep may not be fulfilling or satisfactory because of the effect of the medications you are having and the lethargy you are experiencing. Do talk to your psychiatrist. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.