Wired/Tired - Not sleeping for days

Can anyone help me? I don't know where to turn, been to every doctor it seems, no one seems to have any idea... 

Key parts:

WIRED (I feel heavily stimulated), Going days without sleep or need for it, most was 10 days is confirmed at Northwick Park Hospital. When I do sleep during this phase, it is usually just a couple of hours. Even with medications or drinking, i do not get tired. (as you will see below)

Recently this comes with a crash, where I finally get sleep, typically 24 - 30 hours. I wake up shattered, sometimes shaking, with huge anxiety running in my veins, then without warning flips back to a wired stage. I never wake up feeling normal, the stimulation is always running.

When really Wired/Stimulated my speech races, can’t settle, I feel out of it, warm, headache, eyes feel heavy, pupils dilated (without mood changes, constantly depressed), can’t eat with the feeling in my stomach. I’ve physical symptoms when wired, such as my downstairs shrinking during ‘wired’ phase.

I am lately having a lot of fevers, sweating a lot but with low temperatures, dizziness and other symptoms coming into play, which I have a feeling is a consequence of 3 years living like this). 

Doctors: 

3 years i've had 60 GP appointments, 4 endocrinologists, cardiologist, MRI, CT, EEG, Psychiatrist for a year, and seen a Neurologist.

Medications tried: 

Melatonin – No difference to sleep

Supplements – HTP5 etc for sleep – No difference

Zoloft – Added to WIRED effect (came off it within 2 weeks)

Mirtazapine – No change to Wired, happiest I’ve been in years, helped my depersonization, depression, anhedonia / emotions, only stopped it because I wanted to tackle this first, this is a medication I feel I need in the future.

Olanzapine – No difference but helped anxiety but not as much as I’d like, still would want to be on this in the future  

Zopiclones – No difference and can’t make me sleep

Last year:

Lithium – No difference at 0.9 for months

Depokte – No difference at all for anything

Quietapine – Could make me sleep but not nightly, no change to Wired

Beta Blockers – Helps shakes (still on them)

Lamotrigine - (couldn’t tolerate)

Xanax & Clonazepam - Both can bring down the feeling a bit, even sometimes get me sleeping, but the sleep only lasts a few hours and other symptoms are still apparent, including the wired just to a less degree, don’t get me relaxed

Symptoms in order they came in (all are still on going and worse):

Year before this wired feeling:

High Stress – Break Up – ‘Nervous breakdown’

Depersonization/Anxiety/Derealisation/Depression/NO THOUGHTS/ BLANK MIND/No inner monologue/ Anhedonia – This is my biggest priority after this wired thing. Gets SOME better on Mirtazapine

Fatigue

Bladder dysfunction – Physical shrinkage depending on how ‘wired’ I feel’

Dilated pupils – Eyes dilated very large, everyone points it out and feel heavy

Last two years:

Start of this “wired”, unable to get any sleep or switch of even though I am shattered – Feel stimulated 24/7

Excessive sweating

Physical Anxiety – Bad, especially with the shakes or when I go wired

Bad memory

Last year:

Crash – After days I crash, where I sleep for over 24 hours

Easily over-stimulated – Now can instantly go into ‘wired mode’ from a simple conversation and pupils will dilate and that can then stick for days

Tremors - I shake badly without beta-blockers and sometimes with (80mg)

Shortness of breath (don’t breath automatically anymore)

Exercise intolerance – Can’t walk a mile, when I was relatively fit before

Fevers - Every few weeks I’ll have a bad fever (but low temperature 33/34)

Intolerance to heat

Cognitive impairment

Craving SALT

Aching neck

Muscle aches expect when really wired

Excessive thirst - Drink 4 litters of water a day

Weight gain from 12 stone to 16.5 in one year

Restless leg syndrome

Headache/migraine - ALL DAY EVERY DAY

Glazed eyes when wired, family notice it and can tell straight away

Last 6 months

More wired than a year ago / Happens a lot faster

Legs feel weak and shaky

A lot more fevers

Dizziness – Pretty constant

Personality changes, more aggressive, agitated

Generally feel weak

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