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I think I'm having an identity crisis..

I had to lay down earlier with an ice pack, to regulate my nervous system.
I'm in overdrive, I'm not really doing good, but I keep telling people I'm fine, and some days I feel ok. My grandma called me earlier because we haven't spoken for a while, and I can't remember the last time I called anyone, or spoke to family. Time means nothing, I didn't even realize we're in June, until my husband pointed out that it's our anniversary next week. I feel lost, but at the same time not. I woke up today from a nightmare, and the last "voice" I heard before I woke up was "maybe you shouldn't take those meds today", which freaked me out, so I didn't take my adhd meds. I feel like that dream was a sign that I needed rest today. Idk.

I'm being pulled in so many directions, I feel drained and paralyzed.
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It sounds like you're burnt out , I experience that too and it's hard to navigate when you're in it but some things I find useful is explain to people around you that you're overwhelmed with responsibilities and will be taking time to yourself to recharge but that you love them and think of them , so that they are aware your absence is not about your relationship with them and that you eliminate the stress of worrying yourself about their feelings while you navigate this. Reduce time spent online and reconnect with nature and hobbies , this is more tricky as being online can feel comforting but it is a stressor as algorithms are literally built to evoke such feelings and keep you engaged for the 4 sec feel good rewards. You have to be mindful of that and actively choose to spend more time on a hobby ,maybe painting /baking /shopping etc and outside , a small walk to get your groceries for example ,taking your time going through the isles ,maybe observe more what is out there and treat yourself to something new too. Organized your workload in a realistic manner , adjust your expectations and accept/embrace that it is important to set aside more time for yourself ,at least for the time being ,as you are the most important and it also will effect your efficiency positively in the long term! I hope this helps (: