So, I'm 20, female. Im currently on no medications, but was previously on Mirtazapine at 17, Sertraline at 18, and Escitalopram at 19. Officially diagnosed with Autism, ADHD, Insomnia, Depression and Anxiety. Multiple verbal diagnosis of Bipolar and PTSD. (This is kinda relevant.)

So, I've struggled with sleep for years. But it got especially bad at 13. Basically, my parents, were not the best at all, and just hated me sleeping for some reason. I was NOT allowed to sleep during the day, at all, and if i tried, they would find any way possible to wake me up. BUT. They didn't allow me to sleep at night either. They would have sex excessively loud, and i did speak to them about it, and the effect it was having on me, but it just made them get louder. So from 16, up until I was 17, the only time I was ever able to sleep was either during Geography, or during Biology in school. 

I moved out at 17, and i was HOPING my sleep would go normal, but it didn't. At all. And it ended with me going to the doctor, and getting diagnosed with Insomnia, hence the Mirtazapine. Of course, the medications did NOT work well. It made everything 10x worse, actually, and since then, ive had multiple verbal diagnosises of bipolar. (No offical diagnosis because im too "Emotionally unstable". Makes no sense, but thats just NHS i guess.) So due to the suspicioun of bipolar, they doctors are naturally, hesitant on putting me on any form of medication until im diagnosed. 

But my sleep had had significant impact on my life now. I got kicked out of college because I physically couldn't stay awake in classes, or because I couldnt wake up FOR classes. I can't get into work, and i can't get appointments for my other health issues. It has become really distressing actually, so I went to my GP about it about midway through May. I showed him my sleep trackers, and he himself pointed out the 'drifting', and he himself said it looked 'Exactly like N24'.

We ended up talking about it, and he was of course hesitant on putting me on any kind of medication due to the bipolar risk, but, despite him saying that he himself believes it's N24, He refused point blank to refer me to a sleep specialist. The appointment pretty much got nowhere, and it ended with him putting me onto the "Sleepio" app. Which, I physically cannot accurately track my sleep on that, therefore im not getting accurate 'sleep efficiency'. 

I don't know what to do here. Because the biggest problem I have right now, is my sleep. I have so many other things I need to get help for- one of those being the rapid decline of my mobility in my lower body, which on bad days, leaves me physically paralysed from the waist down- but i can't exactly get the help i need due to my sleep. I don't know what the next steps are :/

Been tracking my sleep for the past 6 months, and i don't know what the next step is now??