I have had to cope with various things over the last few years, losing my husband, having cancer , but having a very bad back is the most problematical, as I rarely get a total nights sleep and once awake the worries and anxiety kick in. So some of the things I have found to be helpful. It is called locus of control. Feeling you are in control of what you do. So I try to get back to sleep but accept if it does not work, and then choose what you want to do. It is better than being in pain and stuck in bed feeling bad about things. So I have sometimes got up at what seems crazy times so, 5am , get myself dressed , and put my coffee things and thermos etc in the car and then off I go. Often to the coast which is about 30 miles away. No one about, easy drive and choose my place. Make my coffee , put radio 3 on, watch the sea and ships with my binoculars. Much more calming and less stress as you need to concentrate on your driving. Enjoy the morning and when it gets to about 11am when more people come I then set off home and arrive in time to do some jobs etc. Whatever time I wake up or get up I look forward to Bach before 7 on radio 3. It is my focal point for the morning and I make sure that I am sat with my fresh coffee while I listen, It is calming, wonderful music to me , always feel better when I have heard Bach. So it makes something to enjoy and look forward rather than feeling frustrated about not sleeping. So another point, I keep a notebook by the bed , so that when you have that thought that is worrying you but you need to deal with it later, if you write it down and then CLOSE the notebook, you have parked the problem until the morning. I keep poetry books and also I have various authors that cheer me us. So always have a Billy Connolly book to hand. He can make me smile whatever the problems. I can be worrying on sort of 3 levels, so whilst thinking of the job I need to do later in the day, also worry about the test results and at the same time my mind can go off on yet more worrying thoughts, so I count backwards in 3's from 1000. You have to concentrate so the worrying thoughts get pushed to one side. If you get lost go back to the beginning. The 3's need more thought so help to block the worries. Finally try not to look back and think what a rotten night and it will be bad tonight too. Just accept that the last night was not good, and try not to link the next night to it. If you start to worry about tonight, go looking for a poetry book you like, an old favourite book to put with your notebook and pen by your bed. Finally (dont laugh!) have you got an old silk scarf or pair of silk pants take them to bed with you and like a child has a special toy, just running your fingers through the silk is a good feeling. If you still like the smell of lavender put some lavender under your pillow so that those old familiar scents come through to you. I hope that these ideas may be of some help. When I have a bad patch looking back and reminding myself that I have got through a similar situation is good. I still find myself worrying but things can improve,