I'm on EMSAM 6mg/24 hours and have a terrible time staying asleep beyond 2-3 hours. I have tried so many other meds, which were unsuccessful, many making my symptoms worse. Other than the insomnia, and some irritation at the patch site, I don't notice any other negative side effects. How could I manage this insomnia? I need my sleep or I experience irritability, fatigue, and loss of concentration. I also don't want a traditional sleep aid. When I had previously been on EMSAM, I took Valium, Restoril, and Trazodone, but still only managed 2-3 hours of sleep most nights.