What can I do when they turn up the volume on me and I’m in pain and cannot sleep? Do I just need to be more patient?

It is a combination of patience and an inner awareness that some of this is a carryover in programming that has a life of its own and must be allowed to fade. You can ask for additional help with this and you can ask for relief from these symptoms and consequences directly. This gives you a double benefit—you will have healing happen from applying the Protocol, but in addition, will have some extra attention via the prayer requests to have things be more manageable and to be healed as quickly as possible so they no longer intrude on your experience. So you can work on this directly as well through prayer requests.