Take a month off and out of the house. Leave your computer at home and turn off any notification for anything that causes you anxiety or stress. If you can't b

Take a month off and out of the house. Leave your computer at home and turn off any notification for anything that causes you anxiety or stress. If you can't because you are a startup founder and it's not making enough money then you have some hard choices. Either ask for help from people that love you, get day job, or go into debt to get your sanity back. At the end of your life the $2k that month off in Costa Rica cost you will be a pittance compared to everything else you've earned. At the end of the month off evaluate your life. Do you still like programming? If the answer is only "kinda sometimes" figure out what you actually like about it and what you hate about it and shift things around to match those. Are you out of shape? Start biking to get around or get a running buddy. Try to get 15 minutes of heart pumping exercise every day and work towards at least one day a week with over an hour of heart pumping exercise. Do some strength training too. callisthenics is my jam since its super cheap and effective, but some people need social encouragement and take better to things like water polo. Do you hate your wife? Fix the relationship. See a therapist. If your wife won't work to fix it leave her. Unfaithfulness isn't just cheating. How's the diet? Cut the fucking soft drinks to 0 and start eating something flavourful, protein / fiber rich every day. I do savoury omelettes in the morning (fresh thyme, soy sauce, mushrooms, onions and jiggled eggs) but whatever it is make sure you have at least one meal every day that is low in carbs, medium-low in fat and high in fiber and protein. Get a hobby that doesn't involve a screen or prolonged mental energy. Photography, weaving, carpentry, painting. Start small and set realistic goals. Quit tabacco. Prolonged use raises latent anxiety. The key thing though is to not to try to do this all at once. Come up with a plan and implement only one change at a time about 4 to 6 weeks between each change. Good luck!