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If you’re waking up in a panic at 3am, it’s already past time. No prestige or paycheck is worth your sanity—step back before you break.
Take a break, family emergency (true - your family needs you whole). Decompress for a month, get a therapist you can work with you. Being on constant high alert make adrenaline do crazy things to your body/brain. You'll come back better able to manage.