I understand what you, "Mourn you Dx." I think I was recently mourning that I was sick, too.
I get accused of laziness all the time. But, even in mania I'm screwed. I'm to the point that no matter what I'm doing I can't seem to get focused. Everything is a mess around me.
If your clients ask, just say you were ill and try to do your best. When I was a custodian I actually really loved having that big vacuum on my back and I could just vaccum and think. My mind could race and I could even talk to myself and no one knew.

I would assume leaf blowing would have a similar effect?