As to treatment---again, so far at least I don't have lesions, just fibers and the "bugs" feelings, along with some insomnia---here's the regimen I'm doing that's helping a lot:
I shower right before bed. I use a synthetic "facial scrub" glove to scrub baking soda all over my body. I do face, neck, arms, torso, ears, then my scalp (I've cut my hair to 1/4-1/2 inch length, so this is easier for me). Then I rinse the glove well, pull out any hairs I see stuck in it, then I do the rest of my body, working my way down. I have a separate glove I use to do my feet and ONLY my feet. When I finish with a glove I rinse it thoroughly, wash it out with anti-bacterial soap, then hang it up to drain and dry. Then I rinse very thoroughly. (By the way, I scrub lighter on thinner skin---like face and breasts, and harder on thicker skin like my back.)
Once I've rinsed thoroughly, I grab a piece of the bar soap I use: it's called Sulfur Soap/Jabon Azufre; it's from Mexico and comes in a yellow box with orange splotches, and has white lettering edged with red. I found it at my local international farmer's market. When I bought it I wasn't sure if my problem was an infectious agent, so I opened up a bar, then used a large knife to cut it into smaller pieces. I keep one piece for my feet, and another for the rest of my body. I cut the pieces to about 1/2" wide, so that by the time I'm done, usually I've used the entire piece. (If I have any left over from doing body, I use that on my feet the next time, and get a new one for body/scalp.)
I lather it well, then do my torso, arms, face, and ears (I go a tiny way into ear canals and nostrils, but not very far, using my fingers). Then I keep the bit of soap in my right hand and get it lathering well, then scoop the lather onto my left hand and work it into my scalp. I keep doing this until scalp is well saturated. Then I rinse my left hand very well, then I turn off the water.
I reapply lather to any part of my torso/arms it got rinsed off of, then I use the soap to get the rest of me well lathered (except for my feet)---all the time, keeping my left hand away from it (I can't turn the shower knob back on with soapy hands, so I have to keep one hand free of soap at this point). Then I put that bar down, pick up the "foot" soap bar, and get my feet very lathered---this part is hard in a shower and soapy soles may cause slips/falls, so be very careful! I tend to keep one foot at least partly on the textured drain, for traction---I also lightly touch left (non-soapy) hand to shower wall to brace.
Then it's stand for an interminable 5 minutes while the soap sits on your skin. I count, and keep the rhythm by remembering times of listening to a clock ticking seconds. I hate this part (it's boring and my feet start to hurt from standing still) but I do it.
Then huzzah! Left hand turns on water, and I start rinsing. I rinse very very thoroughly, top to bottom, at least twice (including ears and nostril edges)... then I do a last rinse *without* rinsing my scalp again (just face, neck, and on down).
Once I get out and get dried off, last two steps:
1. Sometimes water gets stuck in my ears. I use the swimmer's trick of tilting my head to the side and putting a little rubbing alcohol into my ear canals till their full, then draining. The alcohol causes the water to evaporate faster. I put alcohol on some tissue (or you can use a cotton ball) and squeeze drip it in---don't try using the bottle to pour or you might gush it round and into your eyes. I have dry tissue ready to catch the drips when I flip my head the other way to drain.
2. Someone online shared that she had great success with a moisturizing cream from Crabtree and Evelyn called "Citron Souffle". (It has a couple other herbs in it, but it's in their "Citron" line.) It's rather expensive, but it's working very well for me: between the scrubbing to open the pores, the soap, and this moisturizing cream, I woke up today with a TON of shed skin with fibers all in it, and fiber balls, on my sheets this morning... and when I checked my skin today with the handheld microscope I bought, the number of black flecks and fibers visible were cut down to about a tenth of what I had on me yesterday (yesterday I had a flare up---I'm not sure if it's because I skimped with the shower the night before and just used antibacterial soap and no moisturizer, or if it's because I'd been in an environment that I suspect triggers heightened Morgellons for me, or both).
Regardless, yesterday was a misery of "crawls and itching"; today was much much better, with far fewer of both.
As to laundry:
Not all clothes can be washed with hot water and/or bleach. I've found both these alternatives work, for those special clothes:
Either 1/4-1/2 cup of the concentrated brown liquid Lysol (comes in a dark brown plastic bottle),
or 1/2 - 1 cup of Dr. Bonner's Hemp Peppermint soap (I usually use 1/2 cup---I've only used a full cup when washing clothes I'd worn doing something especially dirty).
With both of these, I still use the hottest water allowed by the garment/material; I do *not* use any other detergent or additives, and with both, if the smell is too strong on the clothing when it's finished washing, I simply run it through 1 more cycle with nothing but water, to rinse out the remainder of the Lysol or Dr. Bonner's.
Some people say use dryer softener sheets, some don't. So far I'm not using them, and it's turning out okay... so I don't know if using them helps, hurts, or doesn't matter.
Depending on how much I "shed" at night, I change the sheets either every day, or every other day. I use a fresh towel for every shower, and as for washing hands, I just dry with paper towels.
Since I wash my hands a lot during the day regardless (but especially now!---and I make sure to clean under all my nails when I do, every time), I picked up some Gold Bond lotion that has menthol in it---it seems do do okay for daytime itches, plus it's helping to keep my perennially-dry hands moisturized.
That's pretty much it for the personal care---though I bough a Bauche and Lomb eyewash kit (which I think has Boric Acid? in it, which is supposed to help the eyes), I haven't tried it yet.
I can't comment on the housecleaning stuff yet---we're in the process of making a lot of changes, from ripping up carpets to getting rid of excess items to dealing with a possible mite infestation... so at this point nothing I'm doing is "daily routine" so I won't even attempt to comment on that stuff yet.
Please, remember: my Morgellons is nowhere near as severe as many other sufferers (no lesions, no excessive joint pain, etc.) so I can't speak to anything I've done to mitigate those kinds of problems... and the stuff that I do may work well for *myself*, and possibly for other rather "light" cases, but may not be the best or even effective for sufferers with worse symptoms and/or a different body chemistry than mine.
I *have* had some insomnia, but I honestly can't say how much of that is due to the disease itself and/or nights of worse itching, and how much of it is due to emotional stress of the disease (from going crazy with symptoms and not knowing what it was, to working through all the stuff on the net about it, including the fears of being diagnosed "psychosomatic" by some offhand doctor... along with the great fear that I might pass this on to family, friends, even strangers).
As to fatigue, I *tend* to gauge it by the extreme fatigue I felt after the strange sinus infection I picked up on a Caribbean cruise a couple years ago: in short, my front (nasal) sinuses stayed mostly clear (I could breathe okay, only sneezed occasionally, never really stuffy), but my Eustachian tubes stopped up, and the *other* sinus cavities in my head did likewise, to the point that we had to make 2 trips to the ER: I thought I had viral meningitis again. (The second trip was to get a different anti-nausea med, because I couldn't keep down the oral one they gave me.) The migraine-like pain was horrific, and so was the nausea---and I had light sensitivity, too, and also couldn't sit up for long at all without severe pain and nausea.
Turns out those sinuses were so swollen they were putting pressure on the brain fluid. They had to give me suppository anti-nausea meds before I could keep pain meds and crackers and water down. (I bless the clever inventor of anti-nausea med in suppository form!)
It took me at least a week to get over the severe symptoms, at least 2 months before my ears would remain unstopped for a day or more of time---and it took me nearly a YEAR to get back to a decent energy level (which still isn't as high as it was before).
For the first 6 months after the illness, I had extreme fatigue... so when I think of fatigue, that's sort of become my personal "yardstick" as to how tired I feel. If getting enough sleep for a day or two will make it go away, it isn't too bad. If getting enough rest and sleep for a week still doesn't make it better, it's pretty bad, in my case. If I can sleep for 8-9 hours, and the fatigue only gets marginally better for an hour or two, then I have to rest (lie down) or nap to get more energy back, then for me it's the extreme type.
So, since my energy levels aren't where they used to be anyway, it's hard for me to gauge how tired the Morgellons makes me. All I can say is, it's nowhere near as bad for me as that infection was... so I tend to see my own Morgellons' fatigue as "minor." But I do know others suffer great fatigue with it.