Hi Virginia. Welcome to the community! I'm glad you found us and that reached out about the issues you're facing. Treatment has changed in the past two decades, so, hopefully, there are more options now.
You mentioned that you were prescribed a machine. Is that a CPAP and do you also have sleep apnea? If so, there are other treatments for sleep apnea that don't involve machines, including a pill for obstructive sleep apnea that should receive FDA approval next year. Here is an article about the types of sleep apnea and the treatments that are available: https://sleepapnea.sleep-disorders.net/clinical/treatment. You'll see lots of options beyond CPAP.
When did you last see a sleep specialist? If you don't have one now, finding a new doctor would be a great first step. Most sleep specialists have backgrounds in pulmonology, but you might want to look for someone with a background in neurology since you were previously diagnosed with IH. There are prescription medications that can help tremendously with staying awake during the day and might even allow you to return to work, if you like. Here is an article about IH treatments that might interest you: https://idiopathic-hypersomnia.net/treatment. You will probably have to undergo a new sleep study, but that's a good thing. Your condition might have changed and you might benefit from different approaches.
Managing IH can seem overwhelming, but it doesn't have to be. You can simplify it by tackling one task at a time. Maybe start by making that appointment and picking one lifestyle change that you think might help. You can incorporate more when you feel ready.
I hope this helps and that you'll stick with us on your journey to a fuller life. I'd love to hear about your progress. Know that we're here for you whenever you need us. Best wishes. - Lori (Team Member)