Sleep apnea or just the loss of good sleep? I have PTSD schitzoaffective, bipolar depression, all of these hinder me from feeling like even getting out of bed in the morning and staying awake is such a hard thing to do. Appointments, i have and am still working on keeping them but i have to say now that i see my t more often it's easier. I was teaching piano a few years back but had to quit the teaching from my home because i would get so nervous before the lessons i would cancel because i couldn't think straight and would get confused, so now i just practice for myself and don't teach anymore.