In 1982 I was put on Nardil 15mg and could only sleep 2 hours a night, then added Ativan 2mg and Benadryl. I had to stay in hospital until I could sleep at least 6 hrs. Now I am on EMSAM patch 9mg every other day because of insomnia and still suffer with sleeplessness. And now I don't have the positive effects of it relieving the depression/anxiety and also improving my energy and motivation. For sleep I am on Ativan 2mg and Seroquel 300mg and still struggling with sleep issues. How do you treat severe insomnia when you are on a therapuetic dose?