I suspect you may be focusing on work because it's the most urgent symptom, but this really sounds like depression. I apologize if I'm making unwarranted assump

I suspect you may be focusing on work because it's the most urgent symptom, but this really sounds like depression. I apologize if I'm making unwarranted assumptions, but if I'm not this, perspective could be pretty useful. I have ADHD which makes engaging in tasks you're unenthusiastic about excruciatingly difficult, and my position recently changed so my strengths are no longer utilized and my weak spots are where I need to produce most consistently. It all seems to be based on a dopamine deficiency, and 80% of people with ADHD have comorbid anxiety and depression, so I deal with depression a lot. But I'm one of those people who always seems calm, upbeat and together interpersonally even when I'm struggling with absolute basic tasks. That's convenient in some ways, but it's tough when you really need the help because you need to explicitly ask at a time where it's most difficult to do that. And work is ALWAYS the place that suffers first/most. I love my long-time coworkers and they love having me there. I hate letting them down and I'm sure I can be incredibly frustrating to work with... which of course makes the whole thing worse. These things tend to operate in feedback loops. The lists of signs or red flags you tend to see on the net aren't definitions for depression or lists of prerequisites— they're annoyingly nebulous, incomplete collections of hints. For example— you won't always see smoke pouring out of a window if a building is on fire, and smoke pouring out of a window doesn't automatically mean the building is on fire, what you see might not even be smoke, but it's a pretty strong hint. You won't always see fire trucks outside, and they might be there because someone is having a medical emergency, but it's a pretty good hint. Like that. Also, therapists are only human and can miss the forest for trees— you should plainly ask them for help evaluating yourself for depression. It could be that you just need a solid break, but if you burn through two weeks of vacation and return to work with the same emotional block, you'll be adding some new toxic emotional patterns to your existing ones. Taking several more reputable online questionnaires for these sorts of things can actually prove quite useful. They led me to enlist a neuropsychologist to evaluate me for ADHD and that's really helped me out.