Thanks for saying this. It sounds very similar to my situation. I have recently picked up the book "Feeling Good" by David Burns, MD and it has been helping. After years of therapy, I felt like I should be "fixed". Though things are better, that is not the case. It is constant and serious work with a focus on getting better. I do realize a big part of my problem is lifestyle. As you were saying, my self imposed insomnia, plus the stress and pressure I put on myself day to day. Glad to hear that you are doing better, and your post has encouraged me to seek out a therapist once more.

> For me cognitive behavioral therapy with a very good psychotherapist was fundamental.

How does one go about finding a good therapist? At $100+ per hour, I could see it costing potentially thousands to find someone that's just good, let alone very good.

In the past the wife and I tried going to a few different marriage counselors, it was not very encouraging.

In my state, marriage counselors have weaker licensure requirements than therapists, down to being licensable with a theology degree and a short practicum. Find out what licenses exist where you live and avoid anyone who hasn't completed the stricter license. Where I live the license to look for is Licensed Mental Health Counselor.

One possible place to check is your local university. I know the one by me has a good clinical psych program and they run a clinic that is open to the public. They charge on a sliding scale based on your income so it may be more affordable.

I can't afford it, and I live in a rural place that doesn't have a lot of the fancier kinds of doctors.