Background: PTSD related to violent BF ending in tragedy 6 years ago; that was followed by diagnosis of bipolar

I used to work 60-80 hours/week as a RN but am now disabled. My functioning is getting worse and worse. My house is not just cluttered but is actually a health risk. Year before last I left my (real) Christmas tree up for 3 months until somebody else moved it onto the porch where it stayed for nearly a year. I used to have a garden and such but for the last 2 years I have let my grass grow 2 feet high and not care. Last summer one of my neighbors cut my grass for me once because she was concerned for me. I have cans of food in my cabinet that expired in 2000-2001. I can't get insurance on my house because of it's condition. I buy food and it goes bad because I never cook it.

I don't feel depressed as in sad but I do feel really stressed (financial issues and poor money mgmt, hormonal mentally ill teen who is doing poorly in school and socially, few friends, insomnia).

I am overwhelmed with my life. I want to change but do not know how. I have a therapist and doctor I trust.

I have set simple goals but seldom accomplish anything.