how does one get over all of this??
What a great question! You realize that the answer is absolutely huge, right?
Personally, my answer is "one step at a time". If the step seems too big, break it into smaller steps. If the process of choosing how to break it into smaller steps seems too big, just "pick something. Anything".
My T's advice on "sleep" has been that I "need to make myself available for sleep for 8 hours a day." Whether I want to or not. Doesn't matter WHICH 8 hours, doesn't have to be consecutive, and it doesn't matter if I actually sleep. I just need to lay down someplace where I could potentially sleep and allow for the possibility. (He has a number of great stories of famous people who didn't sleep well. The "making oneself available" idea he credits to Thomas Jefferson.) If I'm not getting 8 hrs of sleep at night, he recommends taking a nap (or making myself available for sleep again) for 20 minutes (no more) when I can. For me, that helps more than I expected. Apparently I can get "too tired to sleep" and that gets to be a vicious cycle.
I have a tendency to get side tracked and forget I'm supposed to sleep. T says "little kids do that, you're not a little kid. You might want to consider making yourself act like a grown up, at least with regard to this." (Note he didn't tell me I HAD to do that, just that I might want to consider the option.) I guess he's right. I don't do it perfectly, but I plan to stick to a strict "time to go to bed/time to get up". And avoid those things that make "sleep" harder to come by in the time before I'm planning to sleep. Beyond that, I've been analyzing "things that make sleep harder" and trying to change them. I try to find things to think about OTHER than "everything in the world that's wrong" while I'm "making myself available". I focus on my breathing. I listen to the Bulldog snoring and try to match my breathing to hers. I "feel" my muscles relaxing and the tension leaving them. (Because I'm mentally telling it to do that.) Different things work for different people. You might have to study the problem some to find what works for you. None of this always 100% works perfectly for me. But it's helped and the more I "practice" the better it seems to work. The first step was deciding that I really saw the way I was sleeping (or not) as a problem and one that I wanted to address.
You've got a lot of other stuff on your plate too. What are the prospects for getting your seizure situation sorted out? It seems like getting any seizures under control would help with everything else. What about your academic situation? I remember you've mentioned that before. Any progress? Dealing with all of this at once......I can see how it would seem HUGE. The "self sabotaging" of your sleep YOU have a lot of potential to control, or at least work on, all by yourself. I can relate to dreading "Tomorrow". Facing it in a sleep deprived state doesn't make it any easier to face, does it? (Doesn't for me!)
and no one to save me from my own brain and my own actions.
But there IS, there's YOU. It's YOUR brain and YOUR actions. "All" you have to do is decide to take care of yourself the way you'd ideally like to be taken care of. Please do, you're worth it!