Hi all,

Im a 27 year old highschool teacher for special education. I work 4 days a week, from 8.00-18.00. It's quite demanding and because I have Rheumathoide Arthritis, I get tired easily. My doctor has told me I wasn't allowed to take on exra work. However, because my boss is very happy with me, I got a promotion and now have a lot of extra work.

This wouldn't be such a problem, if it weren't for my anxiety. I feel stressed out easily because I constantly feel afraid of making a mistake or not being good enough. Since a month or so, work has been even busier and I started having panic attacks. I start crying, can't feel my arms & legs, can't think straight, am convinced everyone hates me and at that moment I just want to hang myself or run off. Which is all so unprofessional. I've been in therapy for about a year and I know what to do during a panic attack, but as soon as work piles up, I slip right back into anxiety/panic.
I now wonder if I should work less, because I'm not enjoying life right now. Last week I felt so stressed out that I spend an entire week in bed throwing up and losing about 4 kg (I weigh about 53 kg). It's impossible for me to live up to my own and others' expectations.

Something needs to change and I just don't know what to do. I feel like these are my only options:
1. I could resign for a few hours a week (and earn less, which wouldn't be a huge problem)
2. completely resign and work in a shop or something (and not have to deal with so many responsibilities / anxiety)
3. quit all extra work incl. my promotion (disappoint everyone, still be left with a busy schedule).

Either way I think my boss will be very unhappy about the fact that I just can't take it again - I was out for a while last year when I developped R.A.

What would you guys do?