Topamax and i am awake

I started Topamax about a week ago. Also after starting Depakote which made me gain weight. They stated they would start me on the Topamax due to help with the migraines that I have had all my life and weight loss. I had a recent MRI which stated that I have been having mini strokes. I am a 30 yr old single mom.. Who now has been at home for a week because I feel so ill. My doctor has me taking Topamax at night and I am not sure if anyone else has had these problems but I am really confused between dreams and reality. I wake and think that there are things there. That really are not there at all. Then because I am scared to fall asleep because of what I might dream of since they are all nightmares and I cant seem to get out of them even when I am awake. I feel like crap the next day and have a migraine. Due to lack of sleep. I also deal with Fibromyalgia and Chronic Fatigue. I tell the doctors that I am always falling alseep at work. All the meds they give me make me sleepy anyways on top of that. I work 2 miles from where I live and I cant make it sometimes without falling asleep at the wheel. I do not understand why these doctors do not see fit to help me more. This is all affecting my job and life...