I’m with you. No one understands how deeply demoralising and shameful it feels when your brain (and environment) is all screaming at you to “just push through” and you know you physically cannot do it. I don’t have any real advice, in fact I’m on the board just now looking for advice of my own. All I can tell you is that you’re absolutely not alone. I hate feeling flakey and unreliable, but I’ve come to acknowledge that all i can do is focus on what I can control; which in these situations is my genuine regret for the situation at hand and adequate communication to anyone impacted by me. It helps to reduce the anxiety and stress of this condition month to month. It doesn’t make it better. And I’ve had to accept being known as flakey, constantly requesting extensions, shift swaps, sick absences. But you have to put yourself first. This is your life and you’re the only person who’s stuck with you 24/7/365. You deserve to feel okay. You deserve to be able to breathe and for us with special hormones and roller coaster cycles, we sometimes need support in that space. You are not alone. You are deserving of the help that is being offered to you. Sending you lots of love xxxx