Sleep is the most important for me to manage Bipolar. My doc wants me to sleep continuously. Tonight and last night I woke up at 3am, so am not getting uninterrupted sleep. I take geodone regularly. I take abilify on an as needed basis when i have issues with sleep. Most docs don't offer this optional med unless they've been seeing you for awhile.
It sucks when you forget how to fall asleep. Some new stress has been introduced and it's put me on that grey line :-(
I realize your situation is much more complex than mine. I've always said i'll be ok if I "1) eat right, 2) no alcohol, 3) get sleep"
In the past, it starts out slow, where you wake up in the night, then it progresses to where you can't go back to sleep after waking up. Still getting 6 hours. Then 6 hours turns into 4 turns into 2 turns into 0 and boom, you're in the psych er :-(