#2 I don't like because it would affect your writing. Is there a level of sedation you can tolerate and still write?
#3 May not be feasible (I don't know).
#1... Would letting go of one or more relationships (commitments, involvements) save for you the rest?
Here's hoping you can effectively gather and sift ideas...
__________________
My dog

mastered the "fetch" command. He would communicate he wanted something, and I would fetch it.