It's hard. I think I last had a full night's sleep in about 2007. Now I am on a 120 minute (and two 180 minute per 24 thank god) schedule and have been on that since November 2009. You do get better at just clunking into sleep when the opportunity arises.
I have never been a patient person. The only thing I can do is try to be kind and say sorry a lot. And remember that I am unreasonable but so is everyone.
The things that have worked for me, coping with sleep deprivation:
- treating it as a challenge and spending my energy on making it easier to cope with/making me more efficient rather than longing for smth I can't have, so self care:
-having a consistent bedtime, even if I don't sleep then, I get into my pyjamas and the big light goes off etc, so when I am really tired I can look forward to that instead of looking forward to sleep that might be available
-listening to the same audio book over and over so it's become like a meditative drone
-very good coffee at around 6.30 and another boost at around 1.30
-doing everything that can be done as soon as I can do it - if I have a burst of energy, I run round the house and pack in housework, write a dozen emails, make the most of every moment
-being realistic and stopping trying to do everything you used to do, which means going without sometimes but in the long run cuts down on those horrendous episodes where you're hiding in the world foods aisle, weeping, in an accidentally-pink shirt, with only one eyebrow, having lost the ability to comprehend paprika
-when the hallucinations and hypervigilance kick in, I find doing some pilates/yoga, wrapping up in warm clothes and eating a giant burger help with keeping your limbs working and keeping you moving and not entirely homicidal