Your T knows you well I"m sure....your T would be the best one to help you work through all those stressors & help you see what changes might be possible........we always tend to think we are superwoman but when the stress gets too much......something ends up giving....& it's usually our mental or physical health & then we end up not being able to succeed in anything......& that tends to leave us feeling totally useless.

Changes always feel impossible....but continuing on the same path can end up just as impossible in the end. Sounds like issues that you could really use some good problem solving help with from your T IMO.