If you can, find a neurologist who specializes in sleep disorders. I know someone who described something similar after self-referring to a sleep doc and the doctor’s first words were, essentially, “you’re on an adjusted sleep cycle naturally, but we’re going to start tackling things in order of importance based on your symptoms and needs.” Was fantastic for them to get a doc who took it seriously, was sympathetic, but also realistic that biology might not mesh with what the world required of that person.