Maybe this isn't helpful Jamie but I'll toss it out... When we were in the worst of sleep deprivation with a poorly sleeping child, I really could barely think straight. If there was an obvious solution it would not have been obvious to me because I could barely think sequentially let alone entertain creative solutions. So, as hard as it may be, I would encourage you to remember people who care about you probably legitimately feel bad for the situation you are in and they are trying their best to help.
I was not specifically referring to my own experience with sleep problems. On another thread, I brought up the aspect of parents coping with problems. It occurred to me it might be worth mentioning how parents often have to deal with others not fully understanding the work we have put into these problems, the fact we have honestly tried the things they mentioned and the fact even the professionals are failing to believe us. How are they going to properly diagnose the issue if they don't believe the actual facts communicated about the issue.
Your comment is also helpful as this is another aspect. The exhaustion of having to deal with these problems definitely can get in the way of both recognizing the problem and working on possible solutions. I have myself delayed working on a problem till I felt I would have the energy and time to put into it.