1. waking up in the middle of the night is many times linked to blood Sugar imbalance. When blood Sugar drips below a certian threshold, your body may have to make adrenaline to maintain homeostasis. Eating a super well-balanced low glycemic diet (really light on grains, sugar, high fructose fruit, flour) and getting many of your calories from fats and protein helps. After doing this rigorously for several months - it healed my metabolism and helped me sleep better.
- also being unable to sleep can be caused by too low thyroid hormones, so the body secretes adrenaline to compensate. It was best to treat my adrenals with vitamins (C, B5) first before addressing thyroid treatment.
- a device called an 'accupressure mat' also helped me fall asleep better. it hurts to lie on at first but creates an endorphine and relaxation response on the physical level.
2. going on cortisol / HC or any other habit forming prescription drug never appealed to me personally. I was able to recover with just vitamin, diet, nutrients, herbs, meditation, etc.
3. Working up to large doses of B5 (pantethine) - 1200mg a day in divided doses - significantly increased my ability to tolerate stress. After a few weeks small things that sent me over the edge became tolerable.
4. "cortisol managing" adaptogens like ashwaghanda and can be good but can be habit forming. meaning, if you mess with the dose or try and come off, you may have a crash... or even worse anxiety. YES, once you stop your cortisol will just jump[ right back UNLESS you treat and nourish the whole system with vitamins, good food, yoga, reprogramming. a good rule of thumb if you want to adaptogens is 5 days on, 2 days off. I treated with just vitamins for several months before trying adaptogens to lift me higher once I stablized.
5. Seriphos seemed fairly benign... I did not have any tolerance, problems or issues with. I took it as needed, found it easy to quit.
good luck with choosing a treatment path. listen to your body, use your intuition... just like you are already doing. You found your way here, and surely you can find your way back!