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I advise you to go on vacation. I try to do this more often when I feel that my productivity is falling. So this is a very good practice.
Do you know anything about therapy and treatment with ESA animals? I don't think you've ever tried it, but you should look into it. For example, such animals can be used in psychiatry, most often for people with prolonged depression and other mental illnesses. If you need constant care and protection. you can ask for help and get an ADA therapist letter, which will describe information about help. which is necessary for you I think this is a great way out of the situation for you.