I am insomniac so can sympathize with your condition a bit. It is gonna help a lot that medical help has categorized your condition...lot better than not knowin

I am insomniac so can sympathize with your condition a bit. It is gonna help a lot that medical help has categorized your condition...lot better than not knowing it but not being able to manage it either. Coming to the work problem, you could do three things: 1. find another job 2. consultant 3. run own business 1. There are a lot of companies out there (especially in software industry) that can provide a better work environment. I know for sure Microsoft does offer, and I guess Google also does it. Make a list of companies you would like to work at, and go through the interview process. It is your choice to tell them about the situation before the interviews, but do take it up once they make an offer. Don't worry they will surely accommodate. 2. Consulting You can work from home and in your timings, but the key to be a successful consultancy work is lot of contacts and proven successful deliveries - so the initial days will be very tough. The more projects you deliver, the better it gets. 3. Own business May be just drop an application in the next YCombinator season :) I know its tough but may be something can be worked out, considering the choice of a good co-founder. Additional tips: 1. considering the dull market scene, if any of the above does not work, you might want to consider going to grad school. Your experience and previous academics might get you a scholarship. 2. some companies offer job sharing where one job is shared by two people (each paid accordingly). They are mainly for administrative jobs but who knows. All the best.