Caroll, Ignatia is the first remedy in this case, but you should not repeat it. Leave the dose working and wait. If after a week or two the situation is still the same (worse in the morning) read up on lachesis and find out if it possibly covers the rest of the case. In cases like this I would give a 50M just before bedtime, so the problem can be resolved in dreams. mental cases like that do better on the higher and highest potencies. Hope this is of any help to you.