Selfishness narcissism being uncomfortable in your own skin not feeling connected to the world around you feeling dislocated from family and youth having a strange relationship with your childhood - all those things feel really true to me.
At the end of the day sleep is a barometer of your emotional health. And so if you're not in the right place where you need to be then you're going to have voices keeping you up at night because you have to work through those issues.