Please help!

Hi, I don’t really know where to turn and could use some advice from people who understand this stuff.

Back in 2019 when I was 22, I had a sleep study done and was diagnosed with narcolepsy with cataplexy. I’ve always questioned whether the diagnosis was accurate because at the time I was on multiple medications for sleep/anxiety, and I had also recently stopped using cocaine and alcohol (within about 20 days before the study).

For years I wondered if maybe it was actually depression, anxiety, PMDD, or something else instead. But lately I’m starting to think the narcolepsy diagnosis may have been right after all.

My biggest issue is extreme sleepiness and irritability. I wake up in the morning feeling okay for maybe an hour, but once I have to start doing normal adult things like school, errands, responsibilities, etc., I get SO frustrated and angry because I’m just exhausted all the time. The rage/irritability honestly scares me sometimes.

To make things harder, I’m currently 30 weeks pregnant.

I asked my doctor about getting another sleep study done because I still question the diagnosis, but they want to wait until after I have the baby.

Right now I feel angry, depressed, overwhelmed, and sleepy literally all the time. I’m on 50mg of Zoloft, but I don’t feel like it’s helping much with the irritability.

Has anyone else with narcolepsy experienced intense anger or emotional dysregulation from being so exhausted all the time? Or has anyone questioned their diagnosis because of medications/substance use during their original sleep study?

PLEASE HELP!